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    Solo entry form    

 

This form is for information purposes only. All entries to be done online!


PRETORIA EISTEDDFOD

SOLO ENTRY FORM

NB! CLOSING DATE FOR ENTRIES AND PAYMENTS: 1st SESSION: 26 MARCH 2021 / 2nd SESSION: 9 JULY 2021
UNPAID ENTRIES BY THIS DATE WILL NOT BE PROCESSED FOR PARTICIPATION IN THE 2021 EISTEDDFOD 

IMPORTANT! Please select your preferred mode of participation: Live performance or online (video recording)

Section Code

  E      ESE     A     AS     ASA       B     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)  

 

Email:_________________________________________________________________________________________

PART B:  DETAILS OF TEACHER (Compulsory)

 

Name and Surname:________________________________________________________________________________________

 

Telephone numbers (both):__________________________________ (h)________________________________(cell)      

Email:_________________________________________________________________________________________

 

PART C:  DETAILS OF CANDIDATE

 

Name and Surname (as for certificate):__________________________________________________________________

 

Telephone numbers (both):__________________________________(h) _________________________________(cell)

 

School: ______________________________________________________

Grade: _____________  Age on 01-01-21: ___________  Preference: Afr/Eng:  ________________________

PART D:  DETAILS OF ITEM/S                

 

Code

Item no.

Description item

Instrumental: period

Vocal: voice

Duration

Min.         Sec.               

Amount

1.

 

 

 

 

 

2.

 

 

 

 

 

3.

 

 

 

 

 

4.

 

 

 

 

 

5.

 

 

 

 

 

6.

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

 


TOTAL


R


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