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About
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Correct information!
Please make sure that all provided information is accurate prior to submitting this form.
Name of Student (In English)
*
First
Last
Name of Student (In Russian)
*
First
Last
Student’s Birthday:
*
Home Address:
*
Street Address
City
State
Postal / Zip Code
Father’s Name:
*
First
Last
Mother’s Name:
*
First
Last
Father’s Phone:
*
Area Code
–
Phone Number
Mother’s Phone:
*
Area Code
–
Phone Number
Primary E-mail:
*
E-mail confirmation:
*
What style of education do you prefer?
*
Select value
Online
In class
Both work fine
What day do you prefer for study?
*
Select value
Friday
Saturday
Both work fine
Date of Registration:
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