Family name (as in passport):
First name(s) (as in passport):
I need a hotel:
Please, give the details about the type of room you wish and
the persons you wish to share the room with:
I intend to give a talk:
I need a Russian visa:
If you need a visa, please, fill in the following VISA FORM:
Date of arrival:
Date of departure:
Passport expiration date:
City (with a Russian Consulate) where you will apply for a visa:
Date of birth:
Do likewise with the passports of all accompanying persons.
I would like to come with accompanying person(s):
IMPORTANT: Please, check that your medical insurance is valid in Russia.