CONTACT INFORMATION: Artist Full Name: Gender Male Female Age Phone Number: Alternate Number: Email Residential Address: GUARDIAN PROFILE: Full Name Phone Number Email Address Residential Address BRIEF PROFILE OF THE ARTIST: How long has he/she been painting? How many Art work does he or she have? TERMS AND CONDITIONS: (a) The Art work must be well framed and in good presentation condition (b) There must be a 30-70% sharing formula I declare that all information provided in this application is true and accurate at the time of submission. I grant permission to the organisers or organisation to use/display my artistic works or tapestries. Name Date Submit