HSE Payment Moscow (original) (raw)

Surname, Name, Patronymic

Contract number

Surname, Name, Patronymic (use Cyrillic characters, copy the spelling from your contract)*

Contract number (use Cyrillic characters, copy the spelling from your contract)*

Division

Name*

Phone (use Cyrillic characters, copy the spelling from your contract)*

E-mail (use Cyrillic characters, copy the spelling from your contract)*

Payment for period

1st semester of the current academic year

2nd semester of the current academic year

1st and 2nd semesters of the current academic year

1st module

2nd module

3rd module

4th module

Other (specify in the payment reference)

Purpose of payment*

Amount: