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    Solo entry form 2018    

 

PRETORIA EISTEDDFOD

ENTRY FORM (A): SOLOS/INDIVIDUAL (2018)

NB! ALL ENTRIES MUST BE PAID BY 16 MARCH 2018. UNPAID ENTRIES BY THIS DATE WILL NOT BE PROCESSED FOR PARTICIPATION IN THE 2018 EISTEDDFOD.


NB! ALL ENTRIES MUST BE PAID BY 16 MARCH 2018

UNPAID ENTRIES BY THIS DATE WILL NOT BE PROCESSED FOR PARTICIPATION IN THE 2018 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 01-01-18: ____________________  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: kantoor@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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