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navya nataka samiti
(since 1958)
The 48" ALL INDIA COMPETITIONS IN MUSIC AND DANCE, 2023
(This form duly filled in should reach the General Secretary, Navya Nataka Samiti,
#1-8-522/12, Chikkadpally, Hyderabad - 500 020 or the Y.M.C.A., Narayanguda, Hyderabad - 500 029
on or before the 28" July, 2023,
ENTRY FORM
4. Name in full (in Block Letters) : Sri/ Smt, / Kum.
2. Address with Pin Code
Pin
3. Age and Date of Birth
(Proof of age to be produced)
4, ContactNo,
5. EmailID
6. Branch and Section in which the entry is made
(Tick the appropriate item)
4. Karnatak - Vocal - Senior oOo 42, Bharatanatyam - Senior oOo
2, Karnatak- Veena - Senior o 48, Bharatanatyam - Junior Oo
3. Karnatak- Violin - Senior o 44, Bharatanatyam- Sub - Junior
4, Karmatak - Mridangam - Senior o 18. Kuchipudi- Senior oOo
8. Karnatak - Vocal - Junior o 46. Kuchipudi- Junior o
6. Karnatak - Veena/Vialin - Junior o 17. Kuchipudl - Sub-Junior o
7. Katnatak - Vocal/Violin/ Veena Sub-Junior—] 18. Andhra Natyam - Senior 5
8. Hindustani -Vocal- Senior o 19, Andhra Natyam- Junior o
9. Hindustani - Sitar - Senior o 20, Andhra Natyam-Sub-Junior =]
10. Hindustani -Tabla - Senior o 21, Kathak- Senior So
11, Hindustani -Tabla- Junior o 22, Kathak - Junior oS
Entry fee remitted : Seniors / Juniors / Sub-Juniors Rs.500/- by Cash / MO / DD drawn in favour of
Navya Nataka Samiti, Hyderabad. Specify particulars in Money Order Coupons clearly. Cheques ate not accepted
Name ofthe Guru Institution and Address
DECLARATION
| declare that | will abide by the Rules and Regulations of the Competitions.
Signature of the Parent / Guardian Signature of the Competitor
{Gn case of Minor) FOR OFFICE USE ONLY
Place
Date
NOTE : 1. There is no objection to @ Sub-Junior Section compettor taking part in Junior or Senior Section ora Junior Section Compt
in Senior Section and not vice versé. But, no Competitor can take part in more than one secton inthe same branch.
2. Compettors are advised o keep proct of age with them for progucton. Otherwise the entry is able for disqualification,