APPLICATION FORM
1. NAME:
SURNAME:
2. COUNTRY:
3. DATE OF BIRTH: (format YYYY-MM-DD e.g.: 1981-09-23)
4. NAME OF SCHOOL, ADDRESS, PHONE NUMBER, E-MAIL, FAX :
5. NAME, SURNAME, ACADEMIC TITLE:
TEACHER:
ACCOMPANIST:
6. MUSICAL PROGRAMME:
Composition 1:
time
Composition 2:
time
Composition 3:
time
7. EXACT ADDRESS AND PHONE NUMBER:
8. E-MAIL (necessary condition for receiving the notification of acceptance):
9. Declaration of consent for processing of personal data
I hereby give consent for my personal data included in my application to be processed for the purposes of the recruitment process.
10. Declaration of consent to use of the image
I hereby grant to International Violin Competition "Young Paganini" irrevocable and unrestricted right to use, reproduce or publish photographs or video of me including my image and likeness as depicted therein for editorial, trade, advertising or any other purpose and in any manner or medium; to alert the same without restriction, and to copywright the same.
