Application form
MARINE IASHVILI II INTERNATIONAL VIOLIN COMPETITION
TBILISI, GEORGIA 2022
APPLICATION FORM
DEADLINE 20 September, 2022
INSTRUMENT:______________________________________________________________________________
First and Last Name: ______________________________________________________________________
DATE OF BIRTH/ PLACE/COUNTRY: ____________________________________________________________
CONTACT ADDRESS- STATE:
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PHONE & EMAIL:_____________________________________________________________________________
PROGRAM* & CATEGORY** A B C D E
I ROUND
_____________________________________________________________________________________________
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II ROUND
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_____________________________________________________________________________________________
III ROUND
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* Please list precisely details about each composition (composer, title, tonality, number opus, movement and duration)
** Please circle the category you are applying for. If applicable, please list the program for each stage separately.
First and Lst name of the Accompanist: __________________________________________________
I NEED SERVICES OF OFFICIAL PIANO ACCOMPANIST: YES NO
MUSIC INSTITUTION OF THE APPLICANT: (Name, Address, phone, fax, email):
__________________________________________________________________________________________
SIGNATURE: ___________________________________________________________
(Candidates signature or signature of parent for candidates under 18 years of age)
Date ___________________________________ 2022
Application form