17) Address of inviting organisation*: Skip this question, if we are arranging your invitation. 18) Cities in Russia to be visited*: 19) National Insurance Number* 20) If you have ever Name of insurance company: been issued a mandatory medical Date of issue: insurance, provide* 21) Who will cover your travel expenses*: 22) Place of stay in Hotel name: Russia* address: Hotel phone number: Additional information 23) If you have ever Previous surnames, (names): changed your surname, Date of change: name (names), Reason for change: provide*: 24) If you hold ore have Nationality ever held any other Passport number nationality, please Issuing authority provide* Date of issue Date of expiry 25) If you have ever Date conviction been arrested or Place of conviction convicted for any Reason offence please provide* Imposed sentence 26) If you have ever When been refused a Russian Where visa on arrival?* Reason 27) Information Date Country Reason refusals of visas to Russia or any other 1 country* 2 3 4 5 28) Have you ever been Date Country Reason deported or removed 1 from Russia or any 2 country*? 3 4 5 6 7 29) If you have ever Name of organization worked in organizations (governmental or
17) Address of inviting organisation*: Skip this question, if we are arranging your invitation. 18) Cities in Russia to be visited*: 19) National Insurance Number* 20) If you have ever been issued a mandatory medical insurance, provide* Name of insurance company: Date of issue: 21) Who will cover your travel expenses*: 22) Place of stay in Russia* Hotel name: address: Hotel phone number: Additional information 23) If you have ever changed your surname, name (names), provide*: Previous surnames, (names): Date of change: Reason for change: 24) If you hold ore have ever held any other nationality, please provide* Nationality Passport number Issuing authority Date of issue Date of expiry 25) If you have ever been arrested or convicted for any offence please provide* Date conviction Place of conviction Reason Imposed sentence 26) If you have ever been refused a Russian visa on arrival?* When Where Reason 27) Information refusals of visas to Russia or any other country* Date Country Reason 1 2 3 4 5 28) Have you ever been deported or removed from Russia or any country*? Date Country Reason 1 2 3 4 5 6 7 29) If you have ever worked in organizations (governmental or Name of organization
Russia_Visa_Order_Form_UK_Nationals.docx