La Pianista Jakarta Piano Festival 2020
Annex Building, Jakarta | 25th July 2020
Email address *
Full Name *
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Date of Birth *
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Gender *
Full Name & Date of Birth (for Multihands)
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Parent's Name *
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Parent's Contact Number *
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Parent's Email Address *
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Presenter or Teacher's Name *
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Presenter or Teacher's Phone *
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Presenter or Teacher's Email *
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Mandatory Category
Repertoire & Duration for Mandatory Category
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Free Choice Category
Repertoire for Free Choice Category
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Total Payment *
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Payment Method *
Payment Date *
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Notes
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All the documents needed must be submitted via email to jakartalapianista@gmail.com before 10 July 2020
Birth Certificate
Proof of payment
Music score of the repertoire/s chosen
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