,

( ,

)
THE INITIAL FORM
of foreign candidate recommended for education course
within the quota of Russian state scholarships
(This form should be filled only by foreigners, whom the Ministry of Education of their country
or Russian Embassy included in the number of candidates for study in Russia)
1.
Country:
2. ( ) ___________________________________________
Full name (as in a national passport):
3.

___________________________________________
Full name (with Russian transcription):

( )
Sex (please, mark needed): ./female

Date of birth: /year

./male

/month

4.
,
(, , ).

.
Secondary education establishment name,
finished by the candidate (high school,
lyceum, college). Fill by the candidates for
Bachelor program and Specialist Degree
program:

: ____/Attended: from ____

year
: ____/to ____ year

/day
()

,

(, , ),
.
Marks (scores) awarded in main for the future
specialty disciplines, indicated in secondary
education establishments (school, lyceum,
college) final certificate:
/Physics
/Chemistry
/Mathematics
/Biology
/History
/
Foreign Language

5. ()
(

2
)
High education establishment name (filled
by the candidates for Master and
Doctoral programs):
:
Attended: from

year

:
To
year

()
Marks (scores) awarded in main for the future
specialty disciplines, indicated in higher
education
establishments
(universitys)
Diploma:
1.
2.
3.
4.
5.
6.

6. , /Specialty
number, according to enumeration:

Number and name of the specialty chosen /Specialty name:
in Russian higher education establishment
7. ()
( )
Chosen educational level (please, underline
needed):

/Bachelor Degree program,

/Specialist Degree program,
/Master Degree program,
/internship,
/residency,
, /Doctoral program
/training,
/professional
development training

8.

/:
Please, mark necessity for learning the Russian language as a foreign at the Preparatory
Department: /yes
/no
9. , :
Please, indicate an organization you will be recommended by to study in Russia:
_____________________________________________________________________________
.
I agree with electronic processing of my personal data.
/yes

/no