Application Form
The 7th KAZUSA MUSIC COMPETITION
*Please write in English, block letters. No.
| Surname |
First name |
Put your picture of 4cm x 3cm
Write your name on the other side of the picture |
| Sex |
Male_____Female_____ |
| Nationality |
|
| Date of Birth |
Day_____Month_____Year 19_____ |
School or
Profession |
| Present Address |
| Tel |
Fax |
|
|
e-mail |
| Other Address for Correspondence, if any |
| Tel |
Fax |
|
|
e-mail |
History of musical education (List the music schools and teachers under whom you studied.)
| Month/Year |
School |
Teacher |
|
|
|
Experiences at national and/or international music competition
| Month/Year |
Competition |
City |
Place/Prize |
|
|
|
|
Repertoire
|
Composer |
Title |
Duration |
| Eliminatory Round |
(1) Chopin |
|
|
| (2) |
|
|
| Semifinal Round |
|
|
|
| Final Round (Write the publisher or copyright no. for pieces after 1960) |
|
|
|