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Name :

Date of Birth :

MM
/
DD
/
YYYY
Address :

State :

Craft / Art that you are involved in :
Been working in this field since :
Family Craft : 
Learnt it myself :
Artisan Category :  
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I am an artisan myself : 
I work with artisans : 

Designer category : do tell us in detail how you work with artisans. 

Send me more information about the Artisan/ Designer  Membership Programme. Enclosed please find 5 photos and my social media handles ( if any) 
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