MAURITIAN VISUAL ARTIST - REGISTRATION FORM
Please read carefully the
Details and conditions for registration and Artist Portfolio to be attached
*
are mandatory fields and need to be filled
1. Personal Details
Name
*
Forename
*
1. Title
*
Mr
Mrs
Ms
Date of Birth
*
Nationality
*
2. Contact Details
Residential Address 1
Residential Address 2
Residential Address 3
Telephone Number
Mobile Number
*
Email address
Website
Blog
3. Other Information
Other Occupation
*
4 (i). Media
Please mention the media in which you work
*
4 (ii). Artist Statement
Please give a brief about your field of interest
*
5. Declaration
*
I certify that i have read and approved the details and conditions of the Mauritian Visual Artist Registration Form.
Date:
Please attach all necessary documents. If more than one file, please zip (Max Size: 5 Mb)
*
Attach Document
