Application form

 

You can download the form here

forms must be sent before june 22, 2012.

Candidate

name:

male / female:

nationality:

Contact Address:

street:

postal code:

city:

country:

telephone:

e-mail:

signature:


Canditates for the competition are requested to send by e-mail to:

concorsofanoadriano@gmail.com

a) Aplication form

b) Passport fotocopy

c) Curriculum Vitae

d) Photograph

e) Program

f) receipt of entry fee

The registration fee is € 50,00 per participant.
Please remit it to the following IBAN IT34N0760115300000015819675
(Swift BIC BPPIITRRXXX), headed to the Pro Loco of Fano Adriano.
This fee will not be refunded in the event the attendee withdraws his/her application.