PERFORMING ARTS ADMISSION FORM

Registration Number

For Office Use Only

Last name

First Name

ID Number

Upload ID Copy

Cell No

Email

Gender

Male

Female

Physical Address

Area Code

District

Ngaka Modiri Molema

Dr Ruth Segomotso Mompati

Bojanala Platinum

Dr Kenneth Kaunda

JB Marks

City of Matlosana

Maquassi Hills

Declaration

I, the undersigned hereby declare that I have read and understood the rules of the competition and that I will abide by them. I confirm that the work entered into the competition is my original piece of work/song/poem and if it is not mine, I shall duly acknowledge the writer or the composer.

As a leader I attest that I have obtained permission from the group to represent them.

Registration Fee

R 150

Signature

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Signed by the applicant (Must be 18 years or older)