BRICS ARTIST Registry

Application for Empanelment

Format of application for empanelment for performing in FoI abroad

DRAFT

Please complete the application with accurate details. Applicants should provide address, email ID and mobile number in contact details. Category-specific information and supporting material should be provided as applicable.

1. Applicant & Contact Details

Field (i)

Name of Applicant *

Email ID *

Mobile Number *

Address *

City / District

State

2. Category / Subcategory

Field (ii)

Category *

Subcategory

Art Form

3. Guru / Institution Details

Field (iii) – Categories I to IV

Name of Guru / Institution

Training / Qualification

Applicable specifically to applicants applying in Category I to IV.

4. State & Specific Form

Field (iv) – Category VI

State / Region

Specific Folk Art Form

Applicable specifically to Category VI (Folk Arts).

5. Performances / Show Details

Field (v)

Date	Performance / Show	Occasion	Nature	Venue / Place

Provide clear details of performances/shows with date, occasion and nature: State / National / International.

6. Awards

Field (vi)

7. Production / Exhibition Options

Fields (vii) to (xi)

Type of Production / Exhibition

Members of Group with Details

Technical Requirements

Space Requirements

YouTube / Web Links

8. Concept Note – Exhibition

Category VII

Upload Concept Note (MS Word) *

Applicants in Category VII (Exhibitions) should attach a concept note on the exhibition proposed, in MS Word format.

9. Declaration & Submission

I certify that the information provided in this application is true and complete to the best of my knowledge.