inter-State Educational Institution of Higher Education

inter-State Educational Institution of Higher Education

“Belarusian-Russian University”

Form for receiving an invitation to study

* The form should be completed in block letters

** The form and all the attached documents should be sent to the International Department of Belarusian-Russian University by post or/by fax or/ by e-mail

Contact point:

Prospekt Mira 43, 212000 Mogilev, Republic of Belarus

Tel/fax: +375 222 25 28 30

e-mail: interstudy@bru.by

1. PERSONAL INFORMATION

Family name: Name:

(as it’s written in the passport) (as it’s written in the passport)

Patronymic(if available):

Sex: Date of Birth: Nationality:

(male/female) (day/month/year)

Passport №: Date of issue: Date of expiry:

(day/month/year) (day/month/year)

Home address:

Home telephone number: Mobile phone:

(Specify phone numbers using an international format, e.g. +375 222 25 28 30)

E-mail: Fax:

Father:

Surname, Name, Patronymic:

Place of employment, position:

Contact number:

Mother:

Surname, Name, Patronymic:

Place of employment, position:

Contact number:

Where are you planning to get a study visa?

(specify the diplomatic representation of the Republic of Belarus where you are planning to get a visa)

2. PREVIOUS EDUCATION

Kind of education *	Name of the educational institution	Period of education (from…to…)	Document (certificate, diploma and etc.) **
Secondary education
Special /vocational education
Higher education

* Specify all the educational institutions where you studied

** Attach the documents confirming your education (certificate, diploma and etc.)

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