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    Solo entry form    

 

PRETORIA EISTEDDFOD

ENTRY FORM (A): SOLO/INDIVIDUAL (2019)


NB! ALL ENTRIES FOR THE 1st SESSION MUST BE PAID BY 5 APRIL 2019

UNPAID ENTRIES BY THIS DATE WILL NOT BE PROCESSED FOR PARTICIPATION IN THE 2019 EISTEDDFOD 


Section

Code

  E      ESE     A     AS     ASA     R     P     W     G     KJ     KS     L     LM     VJ     VS     S  

 

PART A:  DETAILS OF AFFILIATED TEACHER/CONTACT PERSON

 

Name and Surname:________________________________________________________

 


Telephone number:(both):_________________________________(h)_______________________________________ (cell)  

    

     

Postal address:_________________________________________________________________________________________________________________________


PART B:  DETAILS OF TEACHER (Compulsory)

 

Name and Surname:______________________________________________________________________________________________________________________

 


Telephone numbers (both):____________________________________ (h)_____________________________________________(cell)      



Postal address:__________________________________________________________________________________________________________________________

 


PART C:  DETAILS OF CANDIDATE

 


Name and Surname (as for certificate):_____________________________________________________________________________________

 


Telephone numbers (both):_____________________________________(h) _____________________________________________(cell)

 


School: ______________________________________________________



Grade: _____________  Age on 01-01-19: ____________________  Preference: Afrikaans/English:  ________________________


PART D:  DETAILS OF ITEM/S (One form per SECTION per CANDIDATE. Duo’s trio’s etc. on separate form!)              

 

Code

Item no.

Description item

Instrument: period

Vocal: voice

Duration

Min.                     Sec.

Amount

1.

 


 

 

 

 

2.

 


 

 

 

 

3.


 

 

 

 

 

4.


 

 

 

 

 

5.

 


 

 

 

 

6.

 



 

 

 

 

7.

 

 


 

 

 

 

 


 

 

TOTAL

R

Postal address:  
Pretoria Eisteddfod
P.O. Box 41890
MORELETA PARK 0044

E-mail address: admin@pretoriaeisteddfod.co.za
Fax no. 08663 277 28


Banking Details:
Bank:                    Standard Bank, Menlyn
Account name:      SAVMO Pretoria Eisteddfod
Account number:   012 186 104
Branch code:         012345

 
 
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