International Student Department

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Russian Language Intensive Course

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Academic Exchange

Application Form

A. SENDING UNIVERSITY INFORMATION

Country

Name

Field of Study at Sending University

Field of Study at TPU

Period of Study at TPU

Winter Semester Spring Semester

If you want to arrive for the whole Academic Year, please, choose the semester when your exchange program begins.

B. PERSONAL DATA

First Name

Surname (Family Name)

Photo of the Applicant

Date of birth

Gender

Male Female

Place of birth
(according to your passport)

Nationality

Permanent address

Postcode

City

Country

E-mail

Phone number

Passport №

Passport issued on

Passport valid until

Passport (scanned copy of good quality)

Embassy/Consulate (city and official name of the Embassy/Consulate) you are planning to apply for visa in

Motivation (why did you choose TPU for your studies?)

C. EDUCATION

Diploma/degree you are currently studying for

Bachelor
Master
Other

Number of semesters passed

Transcript of records(scanned copy)
(NB! Must be in English/Russian and certified by Sending University)

D. LANGUAGE SKILLS

Mother tongue

Languages	0	A1	A2	B1	B2	C1
English
Russian

Language of instruction at TPU

Russian English

Please note that if you ticked Russian you will attend courses and take exams with Russian students on equal terms. No individual supervision is provided.

Language Certificate (scanned copy of official Certificate)
(NB! A letter from your English/Russian language teacher stating your level will also suffice. Not required for students from CIS studying in TPU in Russian)

E. STUDY PLAN AT TPU

Please, choose school and then tick courses from pop-down menu. When you switch between schools, courses you have already chosen remain ticked.

School

Courses
Information about courses is presented here

Do you wish to participate in pre-semester intensive Russian language course? Information about the course is presented here

Yes No

F. ACCOMMODATION

Which dormitory you want to be placed in?

Arcadia Ivanova

Students are accommodated in 2- or 3-bed rooms depending on vacancies available. Please specify the name of the person (if any) who you would like to share the room with

G. Additional information

Additional comments