Epstein Secrets

Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No °Yes. insurance company name:_____ _ _ _ Name of Health Insurance Company in US: YOUR STAY IN RUSSIA: Russian Cities to be Visited: List the details of the places you will stay in Russia: Name of First Hotel or Privat

dress: Telephone: Name of Second Hotel or Private Host: Address: Telephone: EFTA00310408 0 Did you participate in combat? Name of Conflict: Location of Conflict: Name of Third Hotel or Private Host: Address: Telephone: VISA QUESTIONNAIRE RUSSIA MISCELLANEOUS QUESTIONS: Have you ever been refused a Russ

e 0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ Name of Health Insurance Company in US: YOUR STAY IN RUSSIA: Russian Cities to be Visited: List the details of the places you will stay in Russia: Name of First Hotel or Private

No K Yes (complete details below) Dates of Active Service: to -Br - Moor - - Y7sar - Fear Did you participate in combat? Name of Conflict: Location of Conflict: O No O Yes (complete details below) Date of Conflict: -ref --- .Ton—fr YOUR EDUCATION: Provide the details of the highest degree or diploma you

0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ _ Name of Health Insurance Company in US: YOUR STAY IN RUSSIA: Russian Cities to be Visited: List the details of the places you will stay in Russia: Name of First Hotel or Private

Yes (complete details below) Dates of Active Service: to -- MootTer— — Y7sar - Dry- — Fear Did you participate in combat? Name of Conflict: Location of Conflict: O No O Yes (complete details below) Date of Conflict: - zajr- YOUR EDUCATION: Provide the details of the highest degree or diploma you have obta

0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ _ Name of Health Insurance Company in US: YOUR STAY IN RUSSIA: Russian Cities to be Visited: List the details of the places you will stay in Russia: Name of First Hotel or Private

Yes (complete details below) Dates of Active Service: to -- MootTer— — Y7sar - Dry- — Fear Did you participate in combat? Name of Conflict: Location of Conflict: O No O Yes (complete details below) Date of Conflict: - zajr- YOUR EDUCATION: Provide the details of the highest degree or diploma you have obta