How long have you lived in the above-mentioned country? *

Do you have relatives in Yerevan who you can stay with should you participate in the program? *

Your relative's contact information in Yerevan *

Are you prepared to cover your round-trip travel expenses to and from Yerevan should you make it into the next round? *

Pursuant to the terms of the program the contestant must be in the Republic of Armenia since April 17, 2010 till July 31, 2010 (the dates are subject to change). Can you be in the Republic of Armenia during the above-mentioned period? *

Parents name, surname, patronymic *

Passport *

Date of issue *