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PRETORIA EISTEDDFOD
INSKRYWINGSVORM(B):  ENSEMBLES/SAMESPRAKE/DUO –, TRIOVOORDRAGPROGRAMME 2019
ENTRY FORM (B):    ENSEMBLES/DUO- & TRIOLOGUE, ALL OTHER DUO/TRIO ITEMS 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.


 

Afdelingskode

Section code:

 

A


 

AS


 

E


 

R


 

P


 

W


 

G


 

KJ


 

KS


 

L


 

LM


 

VJ

 

VS

 

S


 

DEEL A:  BESONDERHEDE VAN GEAFFILIEERDE/AFRIGTER/KONTAKPERSOON

PART A:  DETAILS OF AFFILIATED TEACHER/CONTACT PERSON

 

Naam en Van: _____________________________________________________________________________________________________________________Afr./Eng.

Name and Surname:

 


Telefoonnommers(beide):__________________________________________(h) _________________________________________________(Sel/Cell)

Telephone numbers (both):

               


Posadres:__________________________________________________________________________________________________________________________

Postal address:

 

DEEL B:  BESONDERHEDE VAN DEELNEMERS (Naam en van soos op sertifikaat)

PART B:  DETAILS OF CANDIDATES (Name and surname as for certificate)

 

 

1.   Naam en Van: ______________________________________________________________________________________________________________Afr./Eng.

     Name and Surname:

 


                Skool: ___________________________________Graad: _______Ouderdom op 01/01/19:_________________________

                School:                                                                     Grade:                Age as on 01/01/19:

 

 

2.    Naam en Van: ______________________________________________________________________________________________________________Afr./Eng.

      Name and Surname:

 


                Skool: __________________________________Graad: __________Ouderdom op 01/01/19: ________________________

                School:                                                                     Grade:                    Age as on 01/01/19:

 

3.    Naam en Van:______________________________________________________________________________________________________________Afr./Eng.

       Name and Surname:

 

               

                Skool: __________________________________Graad: __________Ouderdom op 01/01/19: _________________________

                School:                                                                   Grade:                      Age as on 01/01/19:

 


4.    Naam en Van: ____________________________________________________________________________________________________________Afr./Eng.

      Name and Surname:

 

               

                Skool: __________________________________Graad: ___________Ouderdom op 01/01/19: ________________________

                School:                                                                   Grade:                        Age as on 01/01/19:

 


5.    Naam en Van:_____________________________________________________________________________________________________________Afr./Eng.

      Name and Surname:

 

 

                Skool: ________________________________  Graad: _____________Ouderdom op 01/01/19: ________________________

                School:                                                                 Grade:                            Age as on 01/01/19:

 


DEEL C:  BESONDERHEDE VAN ITEM/S       

PART C:  DETAILS OF ITEM/S

 

 

Kode/Code

Itemnr./Item no.

Beskrywing van item/Description of item

Instrument: tydperk/period     

Vokaal: stemtipe/voice

Tydsduur/Duration

Min.      Sek./Sec.

Bedrag/Amount

 

1.


 


 

 

 

 

 

2.


 


 

 

 

 

 

3.


 


 

 

 

 

 


 

 

 

 

TOTAAL/TOTAL


 

R

  

Posadres/Postal address:   Pretoria Eisteddfod

                                          Posbus 41890 P.O.Box

                                          MORELETAPARK 0044

E-posadres/E-mail address: admin@pretoriaeisteddfod.co.za

Faksnr/Fax no. 08663 277 28

 

 

 

 

 

 

 

 

 

 

 

 
 
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