Philosophy, Mathematics, Linguistics: Aspects of Interaction

International Interdisciplinary Conference and Workshop to be held on November 17-22, 2009

St. Petersburg Department of Steklov Mathematical Institute of Russian Academy of Sciences

Visa Form

Your answers must be in English and must use English characters.

Family name
(as in passport):
First and middle names
(as in passport):
Sex: male       female
Date of birth:
Place of birth:

Type of Russian visa I need: business  tourist
Date of entry:
Date of exit:
Country of permanent residence:
Passport number:
Passport issue date:
Passport expiration date:
City with a Russian Consulate where you apply for a visa:
Fax to send the invitation
(+country&area codes):
Mailing address
to send the invitation:
I would like to come with accompanying persons: Yes     No
Their names:
If answer is YES, please, make a separate registration and visa form for each accompanying person: fill in the same fields for everyone (DO NOT omit affiliation, position, address and fax of the institution FOR EMPLOYED and FOR STUDENTS or PUPILS).
I would like to visit cities:
IMPORTANT: You need to  send a copy of your passport  (as usual, this means: "a copy of two adjacent pages one of which contains your photo") preferably as a scanned image by e-mail to Yanina Shibaeva (
Do likewise with the passports of all accompanying persons.
IMPORTANT: Please,  check that your medical insurance is valid  in Russia.


Welcome to interdisciplinary dialogue!

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