SOUTH ZONE CULTURAL CENTRE, THANJAVUR, INDIA

							                   SOUTH ZONE CULTURAL CENTRE, THANJAVUR, INDIA
                    APPLICATION FORM FOR REGISTRATION AS ARTISTES




First Name*         :                                               Affix Your

Last Name           :                                                Passport
Gender*             :
                                                                    Size Photo
Date of Birth*      :

Age*                :

Marital Status*     :

Organization        :

Address Line 1*     :

Address Line 2      :

Place               :

Pin Code            :

Residing State*     :

District*           :

Phone Office        :

Phone Residence     :

Mobile              :

Fax Number          :

E-Mail              :

Website             :



* Informations are Must

  Please Provide any one contact number mentioned above
Main Art Form:


S.No            Art Form                  Grade                     Years Of Experience



I. Additional Artforms (If Any ) :


S.No                                             Art Form




II. Awards with Proof ( If Any ) :


S.No       Award Name                      Awardee                              Year




III. Guru (If Any):


S.No      First Name                 Last Name              Qualification   Experience    ArtForm
IV. Participation: (If Any)


           Chance Given         Program           Date    Date
S.No                                                              Days      Place   Organized By
               By                Name            From      To




V. Performance (If any) :
         Type - [Books / Audio / Video ]


S.No            Art Form                             Type                               Title




VI. Qualification:


                                                                                            Year Of
S.No     Qualification        Institution Name           Board/University       Month
                                                                                            Passing




Attachments with this Application:


Date:

Place:                                                            Signature of Applicant