To: International Department 
of  SSMU n.a. V.I. Razumovsky
____________________________________
____________________________________
____________________________________
              Name, Surname of Applicant
____________________________________
                           Country

Petition for invitation registration

I ask You to prepare an invitation letter for citizen of____________________________________ (country)
________________________________________________________________________________________________________________________________________________________________(name, surname)
to study at ______________________________________________________________ (course, speciality).
Arriving date to Russia – “______” ____________________20____.
Place of birth __________________________________________________(city,town,country).
Place of living__________________________________________________(city,town,country).
Place of visa prepared____________________________________________(city,town,country).
Contacts information (phone number, e-mail address)____________________________________________
______________________________________________________________________________________.
Additional information about an applicant (place of currently studying, expelled/continuing study) ______________________________________________________________________________________.

A copy of national passport and a copy of a legalized education certificate are applied.

	I agree to cross-border transfer of my personal information (a full name, date of birth,  place of birth, data on a nationality (citizenship), passport data, information about education, information about a work place, an address of the actual residence, an address of a registration, numbers of personal phones, contact information, photos) and other necessary information for the solution of the tasks connected with my training.

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          Date                                                                                                         Signature