Surname, name, patronymic of the participant

Registered and residential address (unless they are one and the same)

Date of birth (day, month, year) and number of completed years as on date of 8^thApril 2018

Place of birth

Contact numbers (with dialing code)

e-mail

Birth certificate, passportor substitutional document(serial number, issuing authority and date of issue)

Name of the music educational establishment (school, college), its address, telephone number, fax, e-mail

Performer’s short biography (detailing the places of study, full name of the piano teacher/teachers, laureate titles and certificates from competitions, festivals etc.)

 

PROGRAMME

Category and age group_______________________________________

 

Author*	Title**	Opus	Key	Timekeeping
ROUND I
Total duration of the appearance in the 1stround (mins)
ROUND II
Total duration of the appearance in the 2ndround(mins)

* If it’s an arrangement, then the author of the arrangement should be stated, too.

** Stated as by the author on the title page.

Information about the current teacher

 

Surname, name, patronymic of the teacher (also state a title, academic degree if there is)

Contact number

Passport details (serial number, issuing authority and date of issue, address)

Taxpayer identification number

Pension insurance certificate data

e-mail

 

Information about competitor’s parent / official representative

 

Surname, name, patronymic of the parent / official representative

Contact number

e-mail

 

I am acquainted with the Competition terms and accept it.

 

 

DateSignature

(Competitor’s parent / official representative)

DateSignature

(Competitor older than 14)

Foreign competitors send applications in Russian or English as chosen by them.