FORMULARIO
APPLICATION FORM

Apellido (Family name)_______________________________________________
Nombre (First name)_________________________________________________
Sexo (Sex)_________________________________________________________
Fecha y lugar de nascita (Date and place of birth) ________________________
Nacionalidad (citizenship)_____________________________________________
Educacion Musical (Musical education)_________________________________
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Los maestros, por favor incluya su nombres, apellidos, premios honorificos (Teachers, please indicate full name, honorary awards)____________________
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La participacion en concursos, premios (Participation in competitions, prizes, awards)____________________________________________________________
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Inicio direccion con codigo postal, telefono, fax, e-mail (Home address with postal code, contact telephone, fax, e-mail)_______________________________
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PROGRAMA (PROGRAM) ___________________________________________________________________
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Confirmo que soy consciente de las condiciones del concurso y acepto la obligacion de cumplir.
I hereby confirm that I am aware of the conditions of the competition
and accept the obligation to fulfill them.

Signatura (Signature)_________________________________________________
Fecha (Date)________________________________________________________