Formularz zgłoszeniowy - Brahms Competition in Gdańsk

VII Międzynarodowy Konkurs Muzyki Kameralnej im. Johannesa Brahmsa
7th International Johannes Brahms Chamber Music Competition
KARTA ZGŁOSZENIA / ENTRY FORM
Kategoria / Category .................................................................................................
Nazwa zespołu / Name of ensemble................................................................................................
Członkowie zespołu / Members :
Nazwisko
Name
1
2
3
4
Imię
First name
Data urodzenia
Date of birth
Instrument
Adres (tel., fax, e-mail)
Address (phone number, e-mail)
Narodowość
Nationality
Mężczyzna/Kobieta
Male / Female
PROGRAM / PROGRAMME
I etap – 1. round –
1. ……………………………………………………………………………………..
2. ……………………………………………………………………………………...
II etap – 2. round –
1. ……………………………………………………………………………………..
2. ……………………………………………………………………………………...
Krótka informacja o zespole / Brief information on group
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Data / Date
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Podpisy / Signatures
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