Jef Verheyen Database                                            
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Submission form for Registration
This form has been edited by the Jef Verheyen Archive in collaboration with CKV - Flanders Art Archives Centre (founded by MHKA). The form serves to consider your application of work(s) to be included into the Jef Verheyen Archive's ongoing database. This form is intended to be submitted by the owner of the work(s), or his/hers representative. Please use one form for each work, and provide as much information as possible. No form can be submitted without photographs of the front side as well as the reverse side of the art work.

As the form cannot be saved in the meantime, we suggest you gather all relevant information before getting started:

Title
Date
Technique
Frame
Dimensions
Inscriptions
Stickers
Current owner
Acquisition
Provenance
Publication
Exhibition
Images


! Please note any submitted information and correspondence will be treated strictly confidential by the Jef Verheyen Archive. The rightful claimant will always be inquired whether to stay anonymous or not before any future kind of publication.

Contact: info@jefverheyen.com
First name *
Please write down the name of the person filling in this form (not necessarily the owner)
Last name *
Should you have your own reference number for the work, please enter here:
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