Konkors Kanzunetta Indipendenza 2013

Konkors Kanzunetta Indipendenza 2013 Formola tal‐Applikazzjoni ‐ KANTANTI STABBILITI

ISEM IL‐KANZUNETTA:

NOM DE PLUME:

ISEM u KUNJOM tal‐KOMPOŻITUR:

Indirizz: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Numru tat‐telefon:

Numru tal‐mobile:

Indirizz tal‐email:

Numru tal‐karta ta’ l‐identita’:

ISEM u KUNJOM tal‐AWTUR:

Indirizz: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Numru tat‐telefon:

Numru tal‐mobile:

Indirizz tal‐email:

Numru tal‐karta ta’ l‐identita’:

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Konkors Kanzunetta Indipendenza 2013 Formola tal‐Applikazzjoni ‐ KANTANTI STABBILITI

ISEM u KUNJOM tal‐KANTANT:

Indirizz: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Numru tat‐telefon:

Numru tal‐mobile:

Indirizz tal‐email:

Numru tal‐karta ta’ l‐identita’:

________________________________________ (firma tal‐kompożitur)

_________________________________________ (firma ta’ l‐awtur)

_________________________________________ (firma tal‐kantant)

Din il‐formola ta’ l‐applikazzjoni trid tkun preżentata f’envelope issiġillat immarkat hekk:

Envelope A

[Nom de plume]

FORMOLA

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