Хавсралт №2

 

 

 

Photo size

3,5×4,5

 

“Universe-Best Songs-2017 Application form

 

 

 

 

1. Last anme ………………………………………. Middle name ……………………… Given name ………………………………….

2. Occupation, Employer …………………………………………………………………………

………………………………………………………………………………………….

3. Date of birth ………………….. year ………… month …………… day

4. Place of birth (country) ……………….. (City, district) ……………………

5. Nationality………………………………….

6. Family (List all members.)

Relationship (Father, mother, brother etc.)

Full name

Occupation

Age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Civil ID number (passport), registration number, permanent address (work and home telephone)

………………………………………………………………………………………………………………………………………………………………………………………………………………

8. Education:

Name of Institution

Graduated date

Profession obtained

Academic degree

 

 

 

 

 

 

 

 

 

 

 

 

9. Art work achievements /certificates, awards etc./: …………………………………………………..…………

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

10. Language skill:

Language

Speaking

Listening

Writing

 

 

 

 

 

 

 

 

 

 

 

 

11. Song language: ………..…………………………………………………………………………………………………………………………….

12. Special talent or ability. If any……………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………

13. Hobby …………………………………………………………………………………………………………………..…………

14. Contact person in case of urgency or additional information (address, telephone, relationship).

………………………………………………………………………………………………………………………………………………………………………………………………………………

15. Have you ever been convicted for any offense or crime? (attach police department reference).

…………………………………………………………………………………………………………………………………………….

 

Signature ………………………../…………………./

 

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