INTERNATIONAL CONFERENCE CLEANER PRODUCTION AS A CONTRIBUTION TO SUSTAINABLE DEVELOPMENT (Moscow, December 6-9, 2004)

ON MAIN ENGLISH PAGE	SOURCE PAGE

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FORM FOR VISA SUPPORT

Surname(s)
First name

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Date of birth
Place and country of birth

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Original nationality
Citizenship (current nationality)

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Employer

Address

Telephone number

Fax number

E-mail

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Current occupation
Number of passport
Type of passport
Issued by
Date of issue
Valid until
Place and country of visa issue

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I need the copy of invitation by fax/e-mail
I need the original invitation by post

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Please, send your Application Form not later September 30, 2004 by e-mail with enclosed the first page of your passport with your photo only by e-mail
For your attention: Your passport is valid until April 1, 2005 (the last three months are not taking into account for visas)

Contacts:
Phone/Fax: +7 095 787 42 70
E-mail: lubav@deol.ru   edcentcp@deol.ru