Mir Network Solution Inc.
Tel: 03-5575-3319 Fax: 03-3588-0706
※当フォームに入力の上、プリントアウトしたものを弊社までファックス願います。
ロシア業務査証用 招聘状の発行に必要なお客様データ
[APPLICATION FORM]
| 1. Surname (氏) | |
| 2. Firstname (名) | |
| 3. Date of birth: (生年月日) | |
| 4. Citizenship(Nationality) (国籍) | |
| 5. Place of birth (出生地) | |
| 6. Home address (現住所) | |
| 7. Number of passport (パスポート番号) | |
| Valid till (パスポート有効期限) | |
| 8. Company where applicant works permanently (勤務先名称) | |
| 9. Position (役職) | |
| 10.Company address and Tel/Fax (勤務先住所) |
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| 11.Please note if children up to 16years old travel together with an applicant (16歳未満のお子様と御渡航される場合はご記入下さい) |
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| TERMS AND PURPOSES OF VISIT | |
| 12.Puppose of visit to Russia Federation (入国目的) | |
| 13.Date of first entry (入国日) | |
| 14.Date of Departure (出国日) | |
| 15.Duration of stay (滞在期間) | |
| 16.Type of visa (ビザのタイプ) | |
| 17.Period of visa validity (ビザ有効期間) | |
| 18.Terms of issuing | |
| 19.Original of telex | |
| 20.Towns to visited(max 5cities) (滞在予定都市(最大5都市まで) |
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| 21.Place of visa issue | |
| 22.Planned address in Russia (ロシアでの 滞在先) |
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