Amateurs International Piano Competition

NUOVA COPPA PIANISTI - OSIMO PIANO HOURS FESTIVAL

REGISTRATION FORM - Amateurs International Piano Competition

General information

Name(*)

Please type your name.

Surname(*)

Please type your surname.

Gender(*)

Please tell us your gender.

Country of birth(*)

Please type your country of birth.

Birthplace(*)

Please type your birthplace.

Date of birth(*)

Please select a date.

Citizenship(*)

Please type your citizenship.

Contacts

Permanent address(*)

Please type your permanent address.

Temporary Address

Please type your temporary address.

E-mail(*)

Invalid email address.

Telephone number(*)

Please type your telephone number.

Teacher

Please type your teacher.

Study at the following European community institution

required field

Amateurs International Piano Competition

Music Program(*)

Music Program

Attachments

jpg or pdf format - max 5 mb.

Attached
Copy of a document to support your identity
(ID card or passport)(*)

jpg or pdf format

Attached
Copy of the payment receipt
(registration fee)(*)

jpg or pdf format

Declarations

If a minor, the guardian will be responsible for him/her.

I declare(*)

That I have made request to more than one categories of this Competition.
That I have NOT made request to be enrolled to more than one category of this Competition. Declare

I declare(*)

That I have paid the registration fee in accordance with the competition regulations. Declare

I declare(*)

That I am aware of the Competition rules and accept them unconditionally. Declare

Authorizations

Personal data (*)

I Authorize the processing of personal data in accordance with under the D. Lgs. 196/2003. Authorize