SADHANA 2010 Registration Form

Camp shall start from 1st May 2010 at AURANGABAD (M.S) INDIA

NAME * First Last
Email *
Telephone (along with city code) / Cell Number *
Age *
Profession
Education
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Have you been associated with any Art Form? * Visual Arts Vocal Music Classical Dance Literature Instrument Drama Not associated
Details (Specific field of Art and Experiences)
Through which medium you came to know about SADHANA? *
Do you wish to Opt for Residential Facility? * Yes No
Payment Option: Registeration Fees: Rs. 4000/- Accomdation: Rs. 50/- per day (if opting for residential facility). (Amount for D.D. & Cheque shall be Payabale to : "MAHAGAMI, Mahatma Gandhi Mission Sangeet Academy", payable at "AURANGABAD"). * Demand Draft Cash
Upload your Photograph (Optional, however it is mandatory to carry a passportsize photograph once you arrive for SADHANA camp).

Upload your photograph for registration