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2017 19:02:15
EMBASSY OF THE RUSSIAN FEDERATION IN
COSTA RICA
1. Nationality (if you formerly had COSTA RICA
USSR or Russian citizenship, please
indicate when and why you lost it).
5. Sex. FEMALE
6. Passport.
Passport No: 114140595
Date of issue: 02/05/2017
Valid until: 01/05/2023
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13. Children under 16 years and other
relatives written in your passport.
Do you travel with children under 16 NO
years or other relatives written in
your passport?
14. Your permanent address, telephone SAN JOSE, ZAPOTE 150 OESTE DEL LICEO RODRIGO FACIO., TEL: +50689176887,
number, fax number, E-mail. EMAIL: zr.mariel@gmail.com
15. Place of work or study (position, UNIVERSIDAD NACIONAL DE COSTA RICA, STUDENT, UNIVERSIDAD NACIONAL, CAMPUS
company name, address, telephone OMAR DENGO. HEREDIA, COSTA RICA. AVENIDA 1, CALLE 9., TEL: +5062277-3000
number, fax number, E-mail).
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