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Online Registration

Personal data
Title and Last Name		Sex	Male Female
First name(s)
Address		Postal (Zip) Code
City		Country	Select Andorra Argentina Armenia Australia Austria Azerbaijan The Bahamas Bahrain Barbados Belarus Belgium Belize Bermuda Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Canada Chile China Colombia Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador Estonia Faroe Islands Fiji Finland France Georgia Germany Gibraltar Greece Greenland Guadeloupe Guam Guatemala Guyana Honduras Hungary Iceland India Indonesia Iran Ireland Israel Italy Jamaica Japan Jersey Johnston Atoll Jordan Kazakstan Korea, South Kuwait Kyrgyzstan Latvia Lebanon Liechtenstein Lithuania Luxembourg Macau Macedonia Malaysia Maldives Malta Mexico Moldova Monaco Netherlands New Caledonia New Zealand Nicaragua Norway Oman Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia San Marino Saudi Arabia Serbia and Montenegro Seychelles Singapore Slovakia Slovenia South Africa Spain Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Thailand Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam
Tel. (day)		Tel. (night)
Fax		E-mail
Emergency contact

Liden & Denz St.Petersburg: Course Details
Course type: please hold down the ctrl-key (command key for Mac users) for multiple choices!	Group Standard - 20 lessons per week Group Intensive (Language Plus) - 25 lessons per week Group Academic Year - 20 lessons per week Group Academic Year - 25 lessons per week One-to-One - 15 lessons per week One-to-One - 20 lessons per week One-to-One - 30 lessons per week One-to-One - 40 lessons per week Total Immersion - 20 lessons per week
Additional options	Choose option TRKI Exam module - 5 lessons One-to-One module - 5 lessons
Start (Standard/Intensive Group Courses)	Starting date 14* January 2008 28 January 2008 11* February 2008 25 February 2008 10* March 2008 24 March 2008 7* April 2008 21 April 2008 5* May 2008 19* May 2008 2* June 2008 16* June 2008 30* June 2008 14* July 2008 28* July 2008 11* August 2008 25* August 2008 8* September 2008 22* September 2008 6* October 2008 20 October 2008 3* November 2008 17 November 2008 1* December 2008 Course length 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks 17 weeks 18 weeks 19 weeks 20 weeks 21 weeks 22 weeks 23 weeks 24 weeks 25 weeks 26 weeks 27 weeks 28 weeks 29 weeks 30 weeks 31 weeks 32 weeks 33 weeks 34 weeks 35 weeks 36 weeks 37 weeks 38 weeks 39 weeks 40 weeks 41 weeks 42 weeks 43 weeks 44 weeks 45 weeks 46 weeks 47 weeks 48 weeks 49 weeks 50 weeks 51 weeks 52 weeks
Start (Academic Year Programme)	Starting date 14* January 2008 11* February 2008 7* April 2008 14* July 2008 28* July 2008 22* September 2008 Course length 24 weeks 36 weeks 48 weeks
Start (One-to-One Courses)	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2008 Course length 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks 17 weeks 18 weeks 19 weeks 20 weeks 21 weeks 22 weeks 23 weeks 24 weeks 25 weeks 26 weeks 27 weeks 28 weeks 29 weeks 30 weeks 31 weeks 32 weeks 33 weeks 34 weeks 35 weeks 36 weeks 37 weeks 38 weeks 39 weeks 40 weeks 41 weeks 42 weeks 43 weeks 44 weeks 45 weeks 46 weeks 47 weeks 48 weeks 49 weeks 50 weeks 51 weeks 52 weeks

Liden & Denz Moscow: Course Details
Course type: please hold down the ctrl-key (command key for Mac users) for multiple choices!	Group Standard - 20 lessons per week Group Intensive (Language Plus) - 25 lessons per week Group Academic Year - 25 lessons per week One-to-One - 15 lessons per week One-to-One - 20 lessons per week One-to-One - 30 lessons per week One-to-One - 40 lessons per week Total Immersion - 20 lessons per week
Additional options	Choose option TRKI Exam module - 5 lessons One-to-One module - 5 lessons
Start (Standard/Intensive Group Courses)	Starting date 14* January 2008 28 January 2008 11* February 2008 25 February 2008 10* March 2008 24 March 2008 7* April 2008 21 April 2008 5* May 2008 19* May 2008 2* June 2008 16* June 2008 30* June 2008 14* July 2008 28* July 2008 11* August 2008 25* August 2008 8* September 2008 22* September 2008 6* October 2008 20 October 2008 3* November 2008 17 November 2008 1* December 2008 Course length 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks 17 weeks 18 weeks 19 weeks 20 weeks 21 weeks 22 weeks 23 weeks 24 weeks 25 weeks 26 weeks 27 weeks 28 weeks 29 weeks 30 weeks 31 weeks 32 weeks 33 weeks 34 weeks 35 weeks 36 weeks 37 weeks 38 weeks 39 weeks 40 weeks 41 weeks 42 weeks 43 weeks 44 weeks 45 weeks 46 weeks 47 weeks 48 weeks 49 weeks 50 weeks 51 weeks 52 weeks
Start (Academic Year Programme)	Starting date 14* January 2008 11* February 2008 7* April 2008 14* July 2008 28* July 2008 22* September 2008 Course length 24 weeks 36 weeks 48 weeks
Start (One-to-One Courses)	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December 2007 2008 Course length 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks 17 weeks 18 weeks 19 weeks 20 weeks 21 weeks 22 weeks 23 weeks 24 weeks 25 weeks 26 weeks 27 weeks 28 weeks 29 weeks 30 weeks 31 weeks 32 weeks 33 weeks 34 weeks 35 weeks 36 weeks 37 weeks 38 weeks 39 weeks 40 weeks 41 weeks 42 weeks 43 weeks 44 weeks 45 weeks 46 weeks 47 weeks 48 weeks 49 weeks 50 weeks 51 weeks 52 weeks

Work Placement (only to be filled out by Work Experience Students)
Preference (check with fact sheets)
Start (Work Experience)	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December 2008 2009 Work Placement Length 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks 17 weeks 18 weeks 19 weeks 20 weeks 21 weeks 22 weeks 23 weeks 24 weeks 25 weeks 26 weeks 27 weeks 28 weeks 29 weeks 30 weeks 31 weeks 32 weeks 33 weeks 34 weeks 35 weeks 36 weeks 37 weeks 38 weeks 39 weeks 40 weeks 41 weeks 42 weeks 43 weeks 44 weeks 45 weeks 46 weeks 47 weeks 48 weeks 49 weeks 50 weeks 51 weeks 52 weeks
Current University/college including specialisation and planned degree (if applicable):
Previous University/college including specialisation and obtained degree (if applicable):
Current occupation including company name and position (if applicable):

Your current knowledge of Russian
Your mother tongue
Other languages (best first)
Your level of knowledge in Russian (check here)	Level Total Beginner 'False' Beginner Elementary Intermediate Intermediate Advanced
Previous Russian language courses outside Russia (please specify year(s), course length, number of lessons and textbooks used)
Previous Russian courses in Russia (please specify year(s), course length, number of lessons and textbooks used)

Needs analysis (to be filled out only for One-to-One Courses/additional modules)
Your profession
Your job position
What is the main motivation for you to learn Russian?	Motivation Job Studies Leisure Multiple Reasons
Which specific topics do you want to have covered in your course?
Which specific vocabulary would you like to have covered?
Describe typical situations for which you need to know Russian:
Assign priorities to the following aspects of language learning:	Speaking Priority Very important Important Less Important Not important Listening Priority Very important Important Less Important Not important Reading Priority Very important Important Less Important Not important Writing Priority Very important Important Less Important Not important
How many hours per day are you prepared to invest for self-study (homework):

Accommodation
Please choose your accommodation below. Note that the arrival transfer is only included if you have booked accommodation through Liden & Denz and if you arrive on a Sunday.
	Liden & Denz organises	Choose accommodation Homestay (single room/half board) Shared flat (single room/no board) Hotel: please contact me Studio apartment: please contact me Work Experience options> please contact me
	Special requests: (veg, non-smoking, allergies etc.)
	Accommodation organised independently

Necessary data for the issue of a Russian short term student visa
Arrival not earlier than	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2008 2009
Departure not later than	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2008 2009
Passport number
Passport expiry date	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2008 2009 2010 2011 2012 2013 2014 2015 2016
Nationality
Place of birth
Date of birth	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year (e.g. 1965)
Job position and full working address incl.. phone/fax
Former visits to Russia or the USSR	Year(s) (e.g. 1992, 93, 94)
How did you first learn about Liden & Denz
Remarks

All data will be treated confidentially and are handed over only to the Russian consular authorities.

Your booking becomes valid with our confirmation.

Please read through our General Terms of Participation before signing up.

 

 

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