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Ziegler & Partner GmbH

Official agent of Lomonosov Moscow State University

MGU@studyrussian.com

Application form for enrollment at Lomonosov Moscow State University

A. Selection of study program at Lomonosov Moscow State University

Department

Degree program

Number of semesters Start

---> Total cost for tuition

Estimation of additional costs (to be paid after arrival in Moscow)
Accommodation: USD 150 - 350 per month depending on type
Medical insurance at MGU: USD 150 per semester
Transportation: Monthly student passes for all kinds of public transportation are about USD 30 per month.
Meals: Breakfast, lunch and dinner at the university costs approx. 10 -15 USD per day.

B. Preparation studies

My Russian language knowledge needs to be improved before I can take the entry examination to study at MGU.
I would like to participate in a preparation course at the University Center for International Education. Tuition is USD 3000 per academic year (Sept-June).
I would like to participate in individual Russian language courses prior to taking the entry examination test (info and prices, use separate application form).
I feel that I can pass the entry examination test and do not need further Russian language tuition.

C. Personal data

First Name Middle Name Last Name
Mailing address
Current occupation
Phone (home/work) E-mail
Contact Address
in case of emergency
Contact Person
in case of emergency
Citizenship Passport Number
date of birth
(MM/DD/YY)
Passport valid until

Summary of academic background
Dates of attendance High school / University Degree / Diploma received
Native language Level of Russian
Where did you learn Russian?
(school, duration, level)
(optional)
What other languages do you speak?
(school, level)
(optional)
Special requests
(studies, accommodation)
(optional)
Special medical requirements
Allergies, diet, medication, etc.
(optional)
Other relevant information
special interests, requests
(optional)


Important: This is an application form, not the final approval that a particular service is to be provided. A contract for studying at MGU will be signed in Moscow after taking the Russian language course examination. Once we have confirmed and accepted your application for studying at MGU (or for enrollment into language courses) you may proceed to finally accept the offer and pay the amount due.


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Ziegler & Partner GmbH, MGU, Vorob'evy gory, Moscow, Tel./Fax +7-095-939-0980
Last updated November 13, 2006. MGU@studyrussian.com