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Malta International Music Competition® 2015
Malta International Music Competition®, Central Academy of Arts™, Malta International Music Master Classes™ Malta International Music Competition® 2015 27 - 31July / Juillet 2015 / Valletta - Valette / Malta - Malte APPLICATION FORM/ INSCRIPTION PLEASE WRITE IN CAPITAL LETTERS/ ECRIRE EN LETTRES CAPITALES S.V.P. Category / Catégorie ………………………………….……………………………………………………………………………………………………………………. Pianist, Violinist, Ensemble Leader / Pianiste, Violoniste, chef de l'Ensemble Surname / Nom ……………………………….……………………………………………………………….………………………………………..……… Mr/Mrs First Name / Prénom ……………………………….……………………….....……………………………………….……………………………………………………. Place and date of birth / Lieu et date de naissance ………………………………………………………………...……………………………………. Nationality / Nationalité ………………………………….………………………………..…………………………………………………………......................... Address / Adresse …………………………………………………………..……………………………………………….………………………………...……………. ………………………………………………….………………...………………………………………….………………………….……………………………………………………. Phone / Téléphone ………………………………………………………….……………………………...……………...……………………….............................. Fax …………………………………….……………….…………………………………………………………..………………….………………......................................... E-mail …………………………………………………………………………………………………………………………………………………........................................ Instrument / Instrument ………………………………………………………………………………………………………………………………………………………. -------------------------------------------------------------------------------------------------------------------------------------Name of Ensemble / Nom de l’Ensemble ………………………..………………………………………………………………………….……………….... Members of Ensemble / Les membres de l'Ensemble ………………..………………………………………………………………………………... ……………………………………………………………………………………………………………………………………………………………………………………………….... Program / Programme First round / Premier l’épreuve ……………….…………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………………………………………. Second round / Deuxième épreuve ………………………………………………………………………………………………………………………………... …………………………………………………………………………………………………………………………………………………………………………………………………. Please send us your Application Form by email to [email protected] before 1 April 2015. Vous priez de nous transmettre votre Inscription par e-mail [email protected] avant 1 Avril 2015. This application form is only valid if accompanied by a copy of the payment of Enrollment fee. Cette inscription n'est valable qu'avec la copie du paiement de l'inscription. Date : ……………………………. Signatures of all Members / Signatures de tous les Membres: ……………………...……..……… Having studied the conditions, the signatory accepts the stipulations and regulations of Malta International Music Competition®. http://www.vfimf.com Violin Limited <Registration number C51606> [email protected]
