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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 


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

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)  

 

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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