ApplicationForm

MOSCOW POWER ENGINEERING INSTITUTE Krasnokazarmennaya, 14, Moscow, 111250, Russia Phone/Fax: +7 (495) 362-7605; E-mail: study@mpei.ru Web-site: www.mpei.ru
APPLICATION FORM
I am interested in BACHELOR OF SCIENCE course * *
I want to start my studies	on September 1st, year * Type full year
I need Preparatory Language course	YesNo
I will need standard hostel accommodation	YesNo
PERSONAL INFORMATION
Surname	* up to 100 chars
Given names	* up to 100 chars
Sex	MaleFemale
Date of birth (dd.mm.yyyy)	* Invalid format
Place of birth	* up to 250 chars
Country	* up to 100 chars
Passport No.	* up to 50 chars
Passport issued (dd.mm.yyyy)	* Invalid format
Passport valid till (dd.mm.yyyy)	* Invalid format
Address	* up to 250 chars
Phone (with code)	* up to 50 chars
Fax	up to 50 chars
E-mail address	* Invalid format
Previous Education
Name of School or University	* up to 250 chars
Date of entrance (dd.mm.yyyy)	* Invalid format
Date of graduation (dd.mm.yyyy)	* Invalid format
Name of Certificate or Diploma	* up to 250 chars
Current occupation
Company name	up to 250 chars
Address	up to 250 chars
Position	up to 250 chars
Phone	up to 50 chars
Fax	up to 50 chars
Miscellaneous
City of visa application	* up to 250 chars
Security
Type the Number	*
I must bring in Mosсow legalized documents of previous education (with the stamp of Embassy of the Russian Federation or with a special stamp called Apostille) and their translation in Russian language certified by Embassy of the Russian Federation. By signing this application I confirm, that my previous education level grants me the right to get higher education of university level in my native country. I understand that I should send you the copy of my passport (2 first pages) for visa support. I agree that the contract between me and Moscow Power Engineering Institute will be signed in my presence on my arrival to Moscow and on presentation of medical certificate and educational documents.

MOSCOW POWER ENGINEERING INSTITUTE

APPLICATION FORM