„MĂRUL DE AUR” 2024
„GOLDEN APPLE” 2024 / „LA POMME D’OR” 2024
FIŞĂ DE ÎNSCRIERE
Applicationform / Fiched’inscription
• Formaţia, grupul, interpretul, creatorul (Motto)/ Band, group, artist, creator:
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• Instituţia reprezentată / Represented Institution / Institution représenté:
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• Adresa / Adress /Adresse:
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• Telefon/fax/email / Adressphone/fax/email:
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• Data înfiinţării (naşterii) / Foundation date / Date de naissance:
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• BI / CI, seria ____ nr. ____________ CNP _________________________________ Cont IBAN_________________________________________________________________
• Secţiunea de concurs / Section contest /Catérogiechoisipour le concours: __________________________________________________________________
• Repertoriul, manuscrisul, volumul, lucrarea / Repertoire, manuscripts, volume, work / Répertoire, manuscrits, volume, oeuvre:
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• Autor texte / Textsauthor /Auteur du texte:
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• Instructor/autor / Instructor/author /Instructeur/auteur:
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• Titlul volumului/lucrării / Title of volume/work / Titre du volume/travail:____________________________________________________________________________
• Regia artistică / Editura / Artistic Director / Publisher:Maisond’Édition / Éditeur: __________________________________________________________________
• Participări la alte concursuri / Participation in othercompetitions /Participation à d’autre(s) concour(s): ________________________________________
• Număr persoane în grup _______ din care _____femei
Number of people in group _____ of wich ______Women
Nombre de personne dans le groupe _____ avec ______ femmes.
• Data sosirii la Bistriţa / CheckBistriţa/ Date d’arrivée à Bistrita:
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• Mijloc de transport / Means of transport / Moyen de transport:
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Data/Date Semnătura şi ştampila
Signatureandstamp / Signature et tampon