Application form for foreign student
(filled in printing a letter)

Name, Surname (stamped letters, similarly to the passport) ______________________________
_____________________________________________________________________________
Passport____________________________series_________________number_______________
Nationality________________________________country______________________________
Place of living at the moment of applying____________________________________________
_____________________________________________________________________________
Date of birth___________________________________________________________________
Age__________________________________________________________________________
Marriage status_________________________________________________________________
Father: name___________________________________________________________________
Nationality____________________________________________________________________
Tel.: ____________________________e-mail: _______________________________________
Place of work__________________________________________________________________
Mother: name__________________________________________________________________
Nationality____________________________________________________________________
Tel.: ____________________________e-mail: _______________________________________
Place of work__________________________________________________________________
Contacts: address (complete with an index) __________________________________________
____________________________________________________________________________
                                                                e-mail: _______________________________________
                                                                Tel.: _________________________________________
Availability of  general secondary education _________________________________________
Documents that can prove your level of education_____________________________________
_____________________________________________________________________________
_____________________________________________________________________________

In what specialty you are interested in? Why? ________________________________________
_____________________________________________________________________________
At what university you want to study? Why? _________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Do you wan to study in Kiev or at the region (indicate the region)? ________________________
What languages do you know? ____________________________________________________
Knowledge of English language ___________________________________________________
Where did you study languages? ___________________________________________________
Where do you want to work? ______________________________________________________
Why do you want to study in Ukraine? ______________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Your demands__________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Date: ___________________                           Signature: __________________________