Омская ФИЛАРМОНИЯ
 

 

 
 

 

 

 

 

 
 

 

APPLICATION FORM

for the Participation  in of the 1st International Yu. Yankelevich Violin Competition

 

 

    1. Surname, first name and patronymic of the applicant and his/her agent

 

 2.    E-mail, telephone and fax numbers of the person who submitted the application

 

 

   3.  Applicant’s Date and Place of Birth:

 

 

4. Nationality of the Applicant and his/her Agent

 

5. Passport details of the Applicant and his/her Agent

 

 

6.Address of the of the Applicant and his/her Agent: registration address (if applicable) and actual residence address

 

 

7.Which educational institution graduated from, graduation year (if admitted to the degree)

 

 

8.Employment and educational institution as of the application date:

 

9.Data of the teacher the applicant is being trained by as of  the application date:

 

10.Applicant’s participation in music competitions and festivals record (dates and awards received if any)

 

11Competition programme the applicant applies for (state the Age Group as well as the musical compositions the applicant would like to present at the Competition)

1)  Age Group 1:

 Round 1:

 

 Final Round:

 

data of  the accompanist availability or need to be  provided with an accompanist

 

 

2)Age Group 2

 Round 1:

 

 Round 2:

 

 Final Round:

 

data of  the accompanist availability or need to be  provided with an accompanist

 

 

I herewith confirm my complete consent and acceptance of the conditions stipulated by the Statute of the 1st International Yu.  Yankelevich Violin Competition _____________________________________________________

                              

                                                                                                                                             (date and signature of the applicant and his/her agent)

                                                                                                                                                _____________________________

 

 
     

 

 
 
Copyright© 2005-2006 Pert