La Pianista Medan Piano Competition 2020
29th February 2020, JW Marriott Hotel
Email address *
Full Name *
Your answer
Date of Birth *
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Age per 1st February 2020 *
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Gender *
Full Name & Date of Birth (for Duet)
Your answer
Parent's Name *
Your answer
Parent's Contact Number *
Your answer
Parent's Email Address *
Your answer
Presenter's Name *
Your answer
Presenter's Phone *
Your answer
Presenter's Email *
Your answer
Section 1 Category
Repertoire for Section 1 Category
Your answer
Section 2 Category
Repertoire for Section 2 Category
Your answer
Section 3 Category
Repertoire for Section 3 Category
Your answer
Section 4 Category
Repertoire for Section 4 Category
Your answer
Total Payment *
Your answer
Payment Method *
Payment Date
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DD
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YYYY
Notes
Your answer
A copy of your responses will be emailed to the address you provided.
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