To: Prof. Irina Popova, Director
 the Institute of Oriental Manucsripts 
the Russian Academy of Sciences
Dvortsovaya nab. 18
191186 St Petersburg
Russia

From: _________________________________________________________
(Name)
_________________________________________________________
(Address)
____________________________                _____________________
                              (Phone number)                                                   (E-mail Address)

 _________________________________________________________          
(Post and Institution)

 _________________________________________________________ 
(Research Subject)

I would like to obtain   ________________________________________________________ of:
                                             (Standard Digital Image, Premium Digital Image, Photocopy)

Manuscript No	Title, Author	Language	Pages/folios   numbers required	Folios Quantity	

					

Materials are required for _________________________________________________________
                                                                               (Current Research / Publication)
_____________________________________________________________________________

Additional information: __________________________________________________________

_____________________________________________________________________________

_________________________(Signature)
_________________________(Date)