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DianJen Music Programme Registration Form
This is the online registration form for programmes at the DianJen Center for Music Industry Excellence. Kindly provide the following information.
Email address *
Last Name *
Your answer
First Name *
Your answer
Address: *
Your answer
Telephone Contact *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
In Case of Emergency Contact: *
Kindly indicate an emergency contact person.
Your answer
Emergency Contact (Telephone #): *
Kindly provide a telephone number for your emergency contact.
Your answer
Relation of Contact *
Here you list how you are related to the contact person (eg. Mother, Father, Spouse etc.)
Your answer
Programme of Study *
Select Instrument or Music Industry Programme
Programme Start Date *
Please Indicate when you would like to begin your studies
MM
/
DD
/
YYYY
Prior Experience *
Tell us a bit about your prior music experience (if any) and aspirations. You can discuss any instruments or bands you have played with, productions undertaken and software familiar with etc.
Your answer
I have read the Programme's structure and I am desirous of enrolling. I intend to honour the guidelines and requirements. *
A copy of your responses will be emailed to the address you provided.
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