Sc3 - registration form

Each Russian visa will be issued on the ground of
(1) Registration Form,
(2) Photocopy of the passport page(s) containing the holder's photograph, name, passport number and expiration date.

You are kindly asked to submit the Registration Form.

A separate Registration Form (as well as the photocopy of the passport page(s)) is required for every accompanying person.

If you intend to visit other destinations in Russia in addition to Moscow, please do not forget to indicate these in the form.
Another essential point to remember is that after you have indicated the city (e.g., London) where you will collect your visa from a Russian Consulate, it cannot be transferred to a different location (e.g., Paris or Edinburgh).
If your pre-conference travel plans suddenly change, a new visa application will have to be made.

I plan to attend the Third International Sakharov Conference on Physics
in Moscow , June 24-29, 2002.

Family name:

First name:

Date of birth (dd/mm/yyyy):

Sex (f/m):

Citizenship:

Passport number:

Passport is valid until (dd/mm/yyyy):

Affiliation:

Position/Title:

Institute address:

Phone:

FAX:

E-mail:

Destination in Russia:

Visa required from (dd/mm/yyyy)

City / Russian Consulate where visa will be collected:

I need room reservation (yes/no):

I prefer the hotel option
(please indicate one of (P1)-(P4) or (S1)-(S4),
see Second Announcement):

Date of arrival (if known):

Date of departure (if known):

Accompanying persons (yes/no):

If yes, please fill the registration form for each accompanying person

If you have problem in filling in the registration form, please send an e-mail to the following address:
sc3@lpi.ru