Russian Language School of Baltic International Academy

Application Form

Name:

Surname:

Gender:

Date of birth:

Nationality:

Phone:

Email:

Occupation:

Your Russian language knowledge level

Course type (please specify):

Intensity (please specify): 20 hours a week 30 hours a week Other (please specify)

Accommodation arranged by BIA School (please specify):

Visa support: Yes (please send us a copy)
No

Do you need transfer: Yes (please send us a copy of the first page of your passport) No

Do you need return transfer: Yes (please send us a copy of the first page of your passport) No

Course start date:

Course end date:

Accommodation start date:

Accommodation end date:

Additional medical information (allergies, diets…):

Where did you find information about our school?

Additional requirements for the studies and accommodation: