PRIJAVNICA/REGISTRATION FORM
Naziv programa/Program Title *
Ime i Prezime sudionika/Name & Surname of the Applicant *
Your answer
Umjetničko područje/ Artistic Field *
Glazbena umjetnost (instrument), ples, arhitektura..../Music, Dance, Arhitecture...
Datum rođenja sudionika/ Date of Birth (Applicant's) *
MM
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DD
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YYYY
Mjesto rođenja/ Place of Birth *
Your answer
Spol/Sex *
OIB/Personal identification number *
Your answer
Prebivalište i adresa stanovanja/Place of residence, current address *
Ulica, broj/Steet, no
Your answer
Poštanski broj/Postal Code *
Your answer
Grad/City *
Your answer
Država/Country *
Your answer
Mobitel/Mobile *
Your answer
E-mail *
Your answer
Broj osobne iskaznice/Passport No. *
Your answer
Datum izdavanja isprave/ Date of issue *
MM
/
DD
/
YYYY
Datum isteka valjanosti isprave/ Date of expiry *
MM
/
DD
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YYYY
Izdana od/ Issued by *
Your answer
Razina znanja/Level of knowledge *
1- Početnici, manje od 3 godine poduke / Beginner, less then 3 years of experiance; 2- viši razredi niže i srednja muzička škola i iskusni amateri/ Experienced amateur with more then 3 years of tutoring; 3 - studenti glazbe/ Students preparing for professional carriers: 4- mladi profesionalci /Professional musicians
Izbor prehrane/Meals options: *
Vegetarijanski meni/Vegeterian meals *
Required
Posebne napomene/Comments
Informacije na koje biste nam željeli skrenuti pozornost (alergije, bolesti, smještaj roditelja, potreba za instrumentom..)/ Additional details (allergies, illnesses, accommodation for parents, instrument requirement...)
Your answer
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