Age & Category: 05 - 10 Yrs 11 16 & Above Registration No.:-Entry Fee: Solo (Rs 250/-) Duet (Rs. 400/-) Group (Rs. 700/-)
Age & Category: 05 - 10 Yrs 11 16 & Above Registration No.:-Entry Fee: Solo (Rs 250/-) Duet (Rs. 400/-) Group (Rs. 700/-)
Age & Category: 05 - 10 Yrs 11 16 & Above Registration No.:-Entry Fee: Solo (Rs 250/-) Duet (Rs. 400/-) Group (Rs. 700/-)
.:Entry fee: Solo [Rs 250/-] Duet [Rs. 400/-] Group [Rs. 700/-]
Participants name in block Letters: Father & Mothers name: .. .. Address:. . Mobile no: email-id ... School name: .. Class: D.O.B.male/female.. Guardian name coming with candidate: Selected song: . Name of film/album:..
Declaration: I certify that the information provided by me regarding the above candidate is true . I hereby, waive release Gyaneshwari Institute , teaching & performing arts and all other concerned departments and faculties from against any liabilities for any loss, personal injury including property damage that may arisen out of in any way connected with my participation or presence at the aforementioned event . even though that liability have arisen out of negligence and carelessness on the part of the persons or entities mentioned above the herein released.
Signature of Coordinator
Guardian/Parents signature
Applicant signature
Name of participant :-.age sex Fathers name :-. Mobile No:- ..email id
Signature of Coordinator
Guardian/Parents signature
Applicant signature
15.
Last date for submission of registration form: - 25 July2013 (Thursday) Download form from:I .so/wo/dohereby declare that I will abide by the rules and regulations given above. The decision about the program Madhurang-2013 given by the organisers will be acceptable to me and I will not go against it.
Guardian/Parents signature
Applicant signature
GYANESHWARI INSTITUTE
Teaching & Performing Arts
Present
madhurang -2013
with the Association of
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