APPLICATION
FOR INTERNATIONAL VISITORS
Instruction: This application form is to be completed by all prospective international visitors (including exchange visitors) who
wish to study (stay) at Peoples’ Friendship University of Russia. All requirements must be completed and on file before an
admission (visa support) decision will be made.
PERSONAL DATA (Please type or print)
Full name HASAN MD RAKIB
Last name / Family First name / Given Previous
Sex MALE Marital Status SINGLE(UNMARRIED)
Mailing address FLAT 3-A, 368/12/ANORTHPIRERBAG, MIRPUR MODEL, DHAKA 1216
Permanent home address ALIPUR, ULLAPARA MODEL, AMDANGA - 6760, SIRAJGANJ
Place of work OHM GROUP
Position Consultant & Researcher
Address, telephone, fax, e-mail FLAT 3-A, 368/12/ANORTHPIRERBAG, MIRPUR MODEL, DHAKA 1216
Date of Birth 23 DECEMBER 1995
Country of Citizenship Bangladesh
Country of Legal Residence Bangladesh
Country of Birth and place of birth (city) Bangladesh, Sirajganj
Previous visits in Russia N/A
Do you have any health or physical disability? No Yes
(please, attach a copy of your Health Certificate)
Dates of Arrival 10 April 2025 Departure 06 June 2025
Place of visa issue (city
Dhaka
of issue)
Please, attach a scanned copy of your passport (your passport must be valid 6 months after the intended date of departure from
Russian Federation).
I certify that the information in this application is complete and accurate, and I understand that submission of inaccurate
information can be considered sufficient cause for termination my visit in Peoples’ Friendship University of Russia.