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					                              APPLICATION FORM (The 17th Kanagawa Biennial World Children's Art Exhibition)
     Name 
  (Block letters)
     Gender                      Boy               Girl
                               M M       D    D   Y      Y   Y   Y
    Date of Birth                                                                 Age
                                                                           (as of April 1st, 2012)
                                                                                                     yrs

  Country of residence
                                          Indivisual address


□Applying as
                                                      E-mail
individual ※1
                                                  TEL
                                                  FAX
                                              Group name

                                             person in charge
□Applying
                                             Group address
through a group
(school,club,etc)
※2
                                                      E-mail

                                                       TEL
                                                       FAX
Title of piece
(Block letters)
Comment※3




                              APPLICATION FORM (The 17th Kanagawa Biennial World Children's Art Exhibition)
     Name 
  (Block letters)
     Gender                      Boy              Girl
                               M M D          D   Y      Y   Y   Y
    Date of Birth                                                                 Age
                                                                           (as of April 1st, 2012)
                                                                                                     yrs

  Country of residence
                                          Indivisual address


□Applying as                                          E-mail
individual ※1
                                                  TEL
                                                  FAX
                                              Group name

                                             person in charge
□Applying                                    Group address
through a group
(school,club,etc)
※2                                                    E-mail

                                                       TEL
                                                       FAX
Title of piece
(Block letters)
Comment※3


※Copies of the forms can be used in the event that the number of originals is insufficient.
You can download form the website : http://www.earthplaza.jp/biennial/English/index.html
                                   APPLICATION FORM (The 17th Kanagawa Biennial World Children's Art Exhibition)
    Name                   T A R O U                 E A R T H
 (Block letters)
      Gender                   Boy               Girl
                                                                                            No italics !
                           M   M    D   D   Y    Y   Y   Y
   Date of Birth                                                         Age                1 5
                           0 2 0 1 1 9 9 7                        (as of April 1st, 2012)         yrs

 Country of residence      J A P A N
                                                Month/Day/Year                                    How old are you in April 1st,
                                 Indivisual address
                                                                                                  2012 ?

□Applying as               Where are you living now?
                                                E-mail
individual ※1
  If you apply as                      TEL                        Name of Teacher or Director, who
  individual ,please                                              can contact with us.
   fill in this box. If                FAX
  you do through a                 Group name           J a p a n   O v e r s e a s         C o o p
  group , it's not
  necessary to fill in .
                           e r a t i v e        A s s c i a t i o n
                                 person in charge       T o m o o    T a i m a
□Applying
                                 Group address     1 - 2 - 1 , K o s u g a y a , S a k a
through a group
                           e - k u , Y o k o h a m a   2 4 7 - 0 0Mailing AddressP A N
                                                                   0 7      J A
(school,club,etc)
※2                                              E-mail                      k - b i e n n i a l @ e a r t h p l a
 If you apply through a group,
                           z a
 please certainly fill in this box..    j p
                                               TEL          + 8 1 4 5 8 9 6 2 1 2 1
                                               FAX          + 8 1 4 5 8 9 6 2 2 9 9
Title of piece             O u r            H o m e t o w n   K a n a g a w a
(Block letters)
Comment※3                  K a n a g a w a   P r e f e c t u r e                                        i s        s i t u a t e d
                             c l o s e   t o   t h e   h e a r t                                        o f        J a p a n .


※1※2 Please make sure to fill in Mailing address, TEL, FAX and E-mail (Especially if you have an e-mail
address, we would like to contact with you by e-mail anytime without a time difference.)

※3 Please write more details on your entry in English.(no more than 3 lines)

Please put one on the back of each drawing. We cannot accept any drawings without an application form.




                                                Address slip (please use this slip for mailing)
To Secretariat, The 17th Kanagawa Biennial World Children's Art Exhibition,

Japan Overseas Cooperative Assosiation

c/o Kanagawa Plaza for Global Citizenship

1-2-1, Kosugaya, Sakae-ku, Yokohama 247-0007

JAPAN



※ This package contains children's drawings.

Please note that the Secretariat of this exhibition will not pay for any customs or

other mailing costs.

           日本国神奈川県横浜市栄区小菅ヶ谷1-2-1
(送り先)〒247-0007 

                           神奈川県立地球市民かながわプラザ

                           青年海外協力協会

                           第17回カナガワビエンナーレ国際児童画展事務局



                            【注】内容物は子どもたちの絵です。なお、当事務局では関税、送料等の負担
                           が発生する場合は受け取れません。

				
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