Embassy of Bangladesh, Moscow
Moscow 119121, Zemledelcheski Pereulok 6.
Telephone: 7 (499)-246-78-04; Fax: 7(499)-766-43-00
Website: www.bangladeshembassy.ru; e-mail: bdootmoscow@gmail.com

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REGISTRATION FORM

(For Bangladeshi Expatriates, Students, Businessmen and Nationals living in Russia, Byelorussia, Estonia, Latvia, Lithuania and Ukraine)

1. Name: ………………………………………………………………………..
2. Passport No./Dual Certificate of Citizenship No.:………..………………….
Place and Date of Issue: …………………………………………………….. Date of Expiry: ……………………………………………………………...
3. Visa no.: ………………………………… Type of Visa: ………….…........ Place and Date of Issue: ……………………………………………………. Period of Visa: From……………………….….To………………………… Date of Entry into RF: ………………………………………………………
4. Profession: ……………………………………………………………….....
5. Address: (a) Mailing:……………………………………………………….. ………………………………………………………………………………
(b) Permanent:…..………………………………………………………….
………………………………………………………………………………
6. Telephone No.: Office:……………………. Residence:……………………
Mobile no.:………………………………………………………………….. Fax no:…………………………………. e-mail……………………………
7. Marital Status: (Single/Married) ……………………………....................... Name of Wife (if married): ………………………………………………… No. of children: ………..................................................................................


Signature of the Applicant