Summer – Application code

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Application code

APPLICATION FOR SUMMER WORKSHOP – 2017

NINASAM, Heggodu, Sagar, Karnataka- 577 417
Telephone No: 08183-265646

Read before apply:
1. You can also apply in KANNADA. Those who wish to apply in Kannada, please use UNICODE of any Kannada typing software.
2. Use only passport size JPEG or PNG image.
3. Rename your photo with your name before you upload it.
4. Use proper email Id, because we will let you know about your status through email.
5. PARTIALLY FILLED APPLICATIONS WILL BE REJECTED.

Name *
Address *
Pin Code *
Date of Birth(DD/MM/YY) *
Sex *
Email *
Education *
Occupation *
Theatre Experience *
What would you expect from this workshop? *
Name any two theatre personalities you know with their mobile number.
Name 1* Mobile Number 1*
Name 2* Mobile Number 2*
Are you representing any institution? *
If Yes, name and address of the institution
Upload your Passport size Photo only *(Image size should be less than 100kb and it should be JPEG or PNG)

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