ࡱ> KMJ9 Rj.bjbj1Rl 8* $N \n " ^``````$% E^  q (  ^ ^zt` 4( N0V, '/ " 8=>AB@0==>3> :0=4840B0, @5:><5=4>20==>3> 4;O >1CG5=8O 2 @0<:0E 2K45;5==>9 :2>BK @>AA89A:8E 3>AC40@AB25==KE AB8?5=489 (0==0O 0=:5B0 70?>;=O5BAO B>;L:> B5<8 8=>AB@0==K<8 3@0640=0<8, :>B>@KE 8=8AB5@AB2> >1@07>20=8O A2>53> 3>AC40@AB20 8;8 >AA89A:>5 >A>;LAB2> 2:;NG8;8 2 G8A;> :0=4840B>2 4;O CG51K 2 >AA88) THE INITIAL FORM of foreign candidate recommended for education course within the quota of Russian state scholarships (This form should be filled only by foreigners, whom the Ministry of Education of their country or Russian Embassy included in the number of candidates for study in Russia) !B@0=0 Country: >;=>5 8<O (:0: 2 703@0=?0A?>@B5) ___________________________________________ Full name (as in a national passport): >;=>5 8<O =0 @CAA:>< O7K:5 ___________________________________________ Full name (with Russian transcription): >; (=C6=>5 >B<5B8BL) Sex (please, mark needed): 65=./female <C6./male 0B0 @>645=8O Date of birth: 3>4/year <5AOF/month 45=L/day 0720=85 A@54=53> >1@07>20B5;L=>3> CG@5645=8O, :>B>@>5 70:>=G8; :0=4840B (H:>;0, ;8F59, :>;;546). 0?>;=O5BAO :0=4840B>< 4;O >1CG5=8O ?> ?@>3@0<<0< 10:0;02@80B0 8 A?5F80;8B5B0. Secondary education establishment name, finished by the candidate (high school, lyceum, college). Fill by the candidates for Bachelor program and Specialist Degree program: >4 ?>ABC?;5=8O: ____/Attended: from ____ year >4 >:>=G0=8O: ____/to ____ yearF5=:8 (10;;K) ?> ?@>D8;L=K< 4;O 1C4CI59 A?5F80;L=>AB8 ?@54<5B0<, C:070==K5 2 4>:C<5=B5 > A@54=5< >1@07>20=88 (H:>;5, ;8F55, :>;;5465), ?>;CG5==>< :0=4840B><. Marks (scores) awarded in main for the future specialty disciplines, indicated in secondary education establishment s (school, lyceum, college) final certificate: $878:0/Physics %8<8O/Chemistry 0B5<0B8:0/Mathematics 8>;>38O/Biology AB>@8O/History =>AB@0==K9 O7K:/ Foreign Language 0720=85 2KAH53> CG51=>3> 702545=8O (70?>;=O5BAO :0=4840B0<8 4;O >1CG5=8O =0 ?@>3@0<<0E <038AB@0BC@K 8 0A?8@0=BC@K) High education establishment name (filled by the candidates for Master and Doctoral programs): >4 ?>ABC?;5=8O: Attended: from year >4 >:>=G0=8O: To yearF5=:8 (10;;K) ?> ?@>D8;L=K< 4;O 1C4CI59 A?5F80;L=>AB8 ?@54<5B0<, C:070==K5 2 4>:C<5=B5 >1 >:>=G0=88 2KAH53> CG51=>3> 702545=8O (C=825@A8B5B0) Marks (scores) awarded in main for the future specialty disciplines, indicated in higher education establishments (universitys) Diploma: 1. 2. 3. 4. 5. 6. ><5@ 8 =0720=85 A?5F80;L=>AB8, 2K1@0==>9 2 2KAH5< CG51=>< 702545=88 2 >AA88 Number and name of the specialty chosen in Russian higher education establishment><5@ A?5F80;L=>AB8 87 ?5@5G=O/Specialty number, according to enumeration: 0720=85 A?5F80;L=>AB8/Specialty name: K1@0==0O :20;8D8:0F8O (AB5?5=L) (=C6=>5 ?>4G5@:=CBL) Chosen educational level (please, underline needed):10:0;02@80B/Bachelor Degree program, A?5F80;8B5B/Specialist Degree program, <038AB@0BC@0/Master Degree program, 8=B5@=0BC@0/internship, >@48=0BC@0/residency, 0A?8@0=BC@0, 4>:B>@0=BC@0/Doctoral program AB068@>2:0/training, ?>2KH5=85 :20;8D8:0F88/professional development training#:070BL =5>1E>48<>ABL 87CG5=8O @CAA:>3> O7K:0 =0 ?>43>B>28B5;L=>< >B45;5=88/D0:C;LB5B5: Please, mark necessity for learning the Russian language as a foreign at the Preparatory Department: 40/yes =5B/no @30=870F8O, :>B>@0O @5:><5=4>20;0 0A =0 CG51C 2 >AA88: Please, indicate an organization you will be recommended by to study in Russia: _____________________________________________________________________________ / A>3;0A5= =0 M;5:B@>==CN >1@01>B:C <>8E ?5@A>=0;L=KE 40==KE. I agree with electronic processing of my personal data. 40/yes =5B/no  PAGE  PAGE 2 "     npr".46^`bd "L黭黭PJmHnH sHtH CJaJnHtH PJnH tH >*CJOJQJaJmH sH CJOJQJaJmH sH CJaJmHnHsHtH>*PJmHnH sHtH  >*mHsH>*CJOJQJaJ5mHsH 5mHsH9"v   p d$$Ifl$c% t0644 la$If & Fd$If$a$4.h. pr`t4f$$Ifl($c% t0644 la$Ifd$If^ & Fd$If `bd 8$fnddd h$If^h$hd$If^ha$$ & Fd$Ifa$f$$IflY$c% t0644 la$If LP\dfh HJ\jl@BhvxP (J5CJOJQJaJmH sH CJOJQJaJmH sH 5CJOJQJaJCJOJQJaJCJaJmHnHsHtH >*mHsH5>*mHsH 5mHsH5>*>*5 PJnH tH PJmHnH sHtH mHsH9hJDh$If*,rsa[[[[[[[$If$hd$If^ha$$ & Fd$Ifa$y$$Ifl/ 0#$ t0644 la Jprvxm n q !!!N!O!R!!!!!!!^"`"h"j"l"##D$$%%%"%$%&%%%X&Z&\&^&&4'f)h)j)***++(+*++B,,,^-`----ʽʽʽʽʽʽʽmH sH CJaJnHtHCJOJQJaJmH sH CJOJQJaJCJaJmHnHsHtH >*mHsH PJnH tH PJmHnH sHtH mHsH>*En !O!!!`"b"d"f"h"j"l"w$$Ifl0#$ t0644 la$Ifl"##B$$&%%Z&\&^&&]w$$Ifl0#$ t0644 la$If$hd$If^ha$$ & Fd$Ifa$ &4'r(((h)j)*&+r`N$hd$If^ha$$ & Fd$Ifa$w$$Ifl0#$ t0644 la$Ifhd$If^h&+(+*++B,,,,^-.&.pvdd^d^$If$d$If^a$$ & Fd$Ifa$d$$Ifl$c% t0644 la$hd$If^ha$ ---.....$.(.*.,.0.4.6.B.D.F.J.L.X.Z.\.^.`.h.j.0JmHnHu0J j0JUnHtHCJaJmHnHsHtHPJmHnH sHtH mHsHCJOJQJaJmH sH CJOJQJaJ&.(.*.,.0.2.4.F.H.J.`.b.d.f.}{}v{$a$&`#$  ndhf$$Ifl$c% t0644 la$If f.h.j./ 01h. A!"R#$S%  iN@N jn $1$a$,CJKHOJPJQJ_HaJmH nHsH tHA@ k=0000lol  170F A?8A:0$d1$^a$$CJKHOJPJQJaJmHsHtH :B`: ,ge*$1$CJKHOJQJmHsHtH)` 000juSP`"P 0000$ E$*$7$a$CJKHOJQJmHsHtH5RHEVhijr WvI89GcV 3 u % c l   9 T nO0123456!l-./e9e{!opq#$%012360000000000 0000 000 000000000000 000000000000000000000000 00000000000000000000000 000000000 0000000 0000 0000000000000 0@0@0@0@0@0@0@0 0 LJ-j.!& `l"&&+&.f.j. "#$%'(h. !!Djq Ww}~.19=>FVYqv  *+./78:;EFRSTUb & 3 u { % - c j       ( ) 4 5 8 9 A B D E O P j  % T Z \ a c e f p q t u | } nqOR6;<=>FGTV_`abhipqz{|}l/PQWXc ",9DFReo{ xzq 36GHDVXjq Vw 9Fb  2 3 $ % b c k  8 T nNO/6l/d qv!nq363333336fukui3Z:\ef\000eyf[w020120Yuf[0Primary application form.docT h^h`hH. ^`hH. pp^p`hH. @ @ ^@ `hH. ^`hH. ^`hH. ^`hH. ^`hH. PP^P`hH.T6w  j 3 T 56./pq6@`?$ 5``` ` `````````@@`"`$`&`(`,`.UnknownGz Times New Roman5Symbol3& z Arial7&{ @CalibriG h-3 fgMS Mincho7Century qHh`b29 &3!%),.:;?]}  0 2 3 !000 0 0 00000000000 =]acde$([\{  0 0 0000;[b2d` 3q@P '/ "fukuifukuiOh+'0 $ @ L Xdlt| PEQBIXN@` @NKES@PEfukuiBukuuku Normal.dotXfukui.d1kuMicrosoft Word 9.0@G@e4@L429՜.+,0 hp|  1'& `  PEQBIXN@` @NKES@ Title  !"#$%&'()+,-./0123456789;<=>?@ACDEFGHILRoot Entry F4N1Table*WordDocument1RSummaryInformation(:DocumentSummaryInformation8BCompObjfObjectPool44  FMicrosoft Word MSWordDocWord.Document.89q