ON-LINE VISA APPLICATION FORM
Photograph and signature. Service information (automatically generated). Place for
photograph
Date (dd/mm/yyyy), personal signature
Application form recipient:
Basis (voucher, dir. No, inv. No):
The estimated date of visit to the RC:
Application No (web-site):
The date of processing:
Application No (VAC):
The date of processing by the VAC:
Request No in Russian Consulate (RC):
I hereby agree to the processing and transfer of my personal data in electronic form for the purposes of making a decision on visa issuance. I declare that data provided in the application form are full and correct. I am aware that any false information may be a cause for the denial of visa or for the cancellation of the previously issued visa and may lead to other consequences provided for by the legislation of the Russian Federation. Subject to the receipt of visa, I pledge to leave the territory of the Russian Federation before the visa expiration date. I am aware that valid visa does not automatically allow to enter the territory of the Russian Federation. In case of denial of entry, I will not seek any compensation for potential losses.
200**-******** \ 03.04.2026 18:22:33
EMBASSY OF THE RUSSIAN FEDERATION IN
ETHIOPIA
EMBASSY OF THE RUSSIAN
FEDERATION IN ETHIOPIA
NONE
46403978
4/3/2026
1. Nationality (if you formerly had
USSR or Russian citizenship, please
indicate when and why you lost it).
ETHIOPIA
2. Surname (as in passport). DILBORE
3. First name, other names, patronimic
(as in passport).
AYELE ADISU
4. Date of birth (dd/mm/yyyy). 05/03/2000
5. Sex. MALE
6. Passport.
Passport No: EP6910613
Date of issue: 20/01/2022
Valid until: 19/01/2027
7. Purpose of visit. SPORTS
8. Category and type of visa. COMMON HUMANITARIAN
9. Number of entries. SINGLE
10. Date of arrival and departure. 07/04/2026 - 25/04/2026 11. Host organisation you intend to
visit.
Company name: АРГ-О. ДОМАШНИЙ ПЕРСОНАЛ.
TIN: NONE
Invitation No: NONE
Directive No: NONE
Address: 123557, RUSSIA, MOSCOW, B.TISHINSKIY PER., D.8, ST.2, MOSCOW, RUSSIA, 123557
12. Route of journey (destination
points).
MOSCOW
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13. Children under 16 years and other
relatives written in your passport.
Do you travel with children under 16
years or other relatives written in
your passport?
NO
14. Your permanent address, telephone
number, fax number, E-mail.
ADDIS ABABA
15. Current/latest place of work. NONE
16. Information about your previous
trips to Russia.
How many times have you been to Russia? -
17. Information about health insurance.
Do you have health insurance that is
valid in Russia?
NO
18. Other names used in the past
(maiden, pen-name, religious, etc.).
NONE
19. Your place of birth (if you were
born in Russia, please specify when and
which country you emigrated to).
AREKA
20. Additional information about your
relatives.
Do you currently have relatives in
Russia?
NO
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