Attachment to the letter
of the Rector of the Belarusian-Russian University
of October 13, 2014, № 8.6/4418	

On the letterhead of the educational institution

To the Organizing Committee of the Open Mathematical Olympiad
of the Belarusian-Russian University	

APPLICATION
for the participation of the team in the 2015 Open Mathematical Olympiad of the Belarusian-Russian University

Еducational institution: __________________________________________________________ (complete name and bank details)

Participant: ____________________________________________________________________ (last and first names (complete), sex, faculty, code and name of the speciality, year of study, undergraduate or postgraduate student)

Participant: ____________________________________________________________________ (last and first names (complete), sex, faculty, code and name of the speciality, year of study, undergraduate or postgraduate student)

The team Supervisor: ____________________________________________________________ (last and first names (complete), sex, position, academic degree, department, faculty, complete home address, telephones (work phone and cell phone), email address, passport number, date of issue, authority)

Rector	

Date