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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.

 

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

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) - Omkring asb taalkeuse

PART B:  DETAILS OF CANDIDATES (Name and surname as for certificate) - Please circle choice of language

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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