APPLICATION  FORM

1. Full name of participant ............................................................................................................ 2. Date of birth (year, date and month) ....................................................................................... 3. Nationality ................................................................................................................................ 4. Address, tel, e-mail .................................................................................................................. 5. Solist (instrument), member of a chamber ensemble, composer (cross out the unnecessery)     .................................................................................................................................................... 6. Repertoire with approximate duration .....................................................................................     ..................................................................................................................................................... 7. The composition will sound (composers only) - recorded; - live (cross out the unnecessary) 8. Accommodation: hotel; private lodging (cross out the unnecessary) from .... to .... of April 9. I confirm acceptation of the competition regulations. Date:                                                                            Signature: