Harivallabh SANGEET PRATIYOGITA 2002
December 26-27, 2002


Application Form

Name of the competitor :
(in Block letters)

 

Father's name :

 

Age as on 1-7-2002 :
(Attach photocopy of documentary proof)

 

Full residential address :

 

 

Telephone no if any:

 

Category in which entry is sought :
(Please Tick)
  • Vocal

  • Instrumental (Percussion)

  • Instrumental (Non-percussion)

Age Group : 
(Please Tick)
  • Yuva Varg (12+ to 18 yrs)

  • Varisht Yuva Varg (18+ to 25 yrs)

Entry Fee :

 Rs. 100/-

Late Fee (if any ):

*Rs. 100/- / *Rs.200/-

Total Amount Paid :

 Rs.

Mode of Payment :

Cash /Bank Draft

Name of documents attached :
  •  Proof of Age

  • 1Passport Size Photographs

Signature of the Competitor :

 

Date :

 

For Office Use Only:

Application Checked By:

____________________  

 

Sr. No. of the list:

____________________ 

 

Accepted

____________________ 

Chairperson

Signatures of Authorized Person  

 

Date______________________