Consular department Ministry of Foreign Affairs of the Russian Federation Completion of electronic visa application form

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Welcome to the specialised website of the of the. On this website you can fill out the electronic version of the Russian visa application form and print the visa application form, required for applying for a visa to the Russian Federation. Country (select the country where you will be applying for your visa) Choose country Select the country in which there is a Russian embassy or consulate where you will receive a visa. Contacts Hints and help language Choose language Select language in which you would like the hints, regarding completion of the application form, to be displayed Before you start completing the application form please make sure that you have access to/are in possession of the following: 1. Internet browser, which supports 128-bit encryption with operating JavaScript. Our website currently supports Internet Explorer versions 7.0 and above, and Mozilla Firefox versions 3.6 and above. We do not guarantee correct running and functioning of our website if other internet browsers are used. 2. A program which enables viewing and printing of PDF files. We recommend Adobe Acrobat Reader. 3. Inkjet or laser printer to print the visa application form. 4. Your valid national passport. 5. Relevant documents, required for the visa application process, depending on the duration and purpose of your trip. Complete and extensive information (such as a list of required documents, order of document submission, photograph requirements, service prices, visa service duration etc.) can only be obtained from the diplomatic representative authority, of the Russian Federation or the Russian visa application centre, where you intend to apply and submit documents for the visa. ATTENTION: If during the completion process of the form you make a pause of more than 20 minutes, your session will time out and expire. Unless you save your application number or its draft, you will have to start the completion process from the beginning. I have read this information Select this option to complete a new application Select this option to continue completing an application, for editing, viewing or printing of a previously completed application or to create a new application based on previously submitted information https://visa.kdmid.ru/petitionchoice.aspx[21-3-2014 13:12:57]

Please, write down your electronic visa application form ID Application ID: 6410985 Password Enter the password Confirm password Enter the password confirmation Enter text displayed on the image Captcha Enter the writing from the picture and press "Submit". If the symbols are difficult to make out, refresh the page https://visa.kdmid.ru/loginpage.aspx[21-3-2014 13:20:28]

Information about the electronic visa application form Identification number of your electronic visa application form 6410985 Please, write down your application ID and keep it in a safe and secure place. https://visa.kdmid.ru/printappid.aspx[21-3-2014 13:27:38]

Visa details Application ID: 6411655 Nationality Enter your citizenship, in accordance with the country or organisation whose passport you will be entering Russian Federation with. If you had USSR or Russian nationality at some time please select "yes" and indicate when and why you lost it Enter "yes" in this field, if you formerly had USSR or Russian citizenship; if not enter no. If yes, please answer the specifying questions. Purpose of visit (section) Choose one... Purpose of visit Choose one... Select your purpose of visit from the top drop menu list. Then from the lower drop menu list choose the specification of your purpose of visit Select your purpose of visit from the list Select the specification for your purpose of visit Visa category and type Choose one... Number of entries Enter the intended number of entries to Russian Federation Date of entry into Russia Enter your intended date of entry to Russia in "dd/mm/yyyy" format Date of exit from Russia Enter your intended date of departure from Russia in "dd/mm/yyyy" format https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 13:59:54]

Personal details Application ID: 6411655 Surname (as in passport) Enter your surname using letters of the English alphabet, as shown in your passport First name, middle names, patronymic names (as in passport) Enter your first name(s), middle name(s) and/or patronym, using letters of the English alphabet, as shown in your passport Have you ever had other names (maiden name, pseudonym, holy order etc.)? Have you ever had other names (maiden name, pseudonym, holy order etc.)? If you ever used other names (maiden name, pseudonym, holy order etc.) you must enter them. You should only enter one name in each field. To enter other names please use the option Add Sex Enter your gender Date of birth Enter your date of birth, as shown in your passport Your place of birth Enter your place of birth, as shown in your passport If you were born in Russia, select "yes" and specify when and which country you have immigrated to If you were born in Russia, answer yes and enter the name of the country which you immigrated to and when https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 14:20:19]

Passport details Application ID: 6412486 Passport number Enter your passport number (including the series number) Date of issue Enter the date of issue of your passport in "dd/mm/yyyy" format Date of expiry Enter your passport expiration date in "dd/mm/yyyy" format https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 14:58:35]

Visit details Application ID: 6412486 Which institution you are going to visit? Organization Name of organization Address TIN organization Directive (telex) number In the case of a tourist visa select "Travel company" from the list and give the name and address of the travel company. In the case of business visa select "Organization" from the list and enter in the "Name of organization" name of the host organization, enter the address of the organization and TIN in the appropriate fields. In the case of private visa select Individual from the list and enter the name, birth date and home address of the host. In the case of transit, select "None" from the list. Directive (telex) number: if your trip is organised through the Ministry of Foreign Affairs and you know the directive number, enter it in this field. It is also known as the number of visa guidance and contains only digits. Attention! Do not fill in this field if you are not sure of its completion. Invitation number: if you have an invitation issued in the Russian Federation, enter the number. Number is printed on the top right corner of the invitation and has the following format: <number><letter Latin><up to 7 digits>. For example: 2Y9224562. Attention! Do not fill in this field if you are not sure of its completion. Invitation number Itinerary (places of visit) City name Enter your full itinerary of your trip to Russia. You should only enter one place of visit per field. In order to enter more places of visit please use the option "Add" Do you have medical insurance policy valid in Russia? If the answer is yes, enter the name of your insurance company and the number of your insurance certificate Have you ever visited Russia? Indicate whether you have been in Russia before. If the answer is yes, you will need to indicate how many times you were in Russia and the date of your last trip. https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 15:05:24]

Miscellaneous information Application ID: 6412486 Do you have a permanent residential address? yes Do you have a permanent residential address? If the answer is yes you will have to indicate the address of residence, telelphone number, fax number, email address. Your permanent address Your phone number Your fax Your email Do you work (study) in the present time? yes Do you work (study) in the present time? If the answer is yes you will have to indicate the work address or place of study, position, address, telephone number, number of fax and email. Name of employer Work position Employer address Work telephone Work fax Work email Children under 16 years and other relatives written in your passport and travelling with you: Indicate "yes" in this field if you travel with children under the age of 16, and other relatives, otherwise select "no". If the answer is yes, you must provide specifying information Do you currently have relatives in Russia? Answer "yes", if you currently have relatives in Russia. If the answer is yes, you must indicate them. You must only enter the information regarding one relative per field. In order to add information regarding other relatives, please use the option "Add" https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 15:24:30]

https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 15:24:30]

Appointment details Application ID: 6412486 Select the location where you will be applying for your visa Destination name Indicate which Russian Embassy or Consulate where you intend to apply for your visa. Your application will be sent to the selected authority, for a decision to be made regarding your application. If you haven t made up your mind, list all the possible places of where you could apply from the list. https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 15:40:48]

Visa details Application ID: 6412486 Nationality If you had USSR or Russian nationality at some time please select "yes" and indicate when and why you lost it NETHERLANDS no Purpose of visit (section) Purpose of visit Visa category and type Number of entries Date of entry into Russia Date of exit from Russia BUSINESS VISITS BUSINESS DIPLOMATIC SINGLE 10/05/2014 10/06/2014 Personal details Surname (as in passport) First name, middle names, patronymic names (as in passport) PIET JAN HENDRIK Have you ever had other names (maiden name, pseudonym, holy order etc.)? Sex Date of birth Your place of birth If you were born in Russia, select "yes" and specify when and which country you have immigrated to no Female 10/04/1967 THE HAGUE no Passport details Passport number Date of issue Date of expiry NMBFL4PR6 01/08/2011 01/08/2016 Visit details Which institution you are going to visit? None Itinerary (places of visit) City name HO CHI MINH https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 15:56:53]

Do you have medical insurance policy valid in Russia? Provide details Have you ever visited Russia? yes IJEIJE no Miscellaneous information Do you have a permanent residential address? Your permanent address Your phone number Your fax Your email Do you work (study) in the present time? Name of employer Work position Employer address Work telephone Work fax Work email Children under 16 years and other relatives written in your passport and travelling with you: Do you currently have relatives in Russia? yes VAN DIEMENSTRAAT 12 0681859653 yes ALBERT HEIJN LEIDINGGEVENDE GROTEMARKTSTRAAT 55 0681859654 no no Appointment details Select the location where you will be applying for your visa Destination name Visa Application Center VHS (Hague) https://visa.kdmid.ru/authorized/petition.aspx[21-3-2014 15:56:53]