REGISTRATION FORM HENRY VIEUXTEMPS COMPETITION

Henry Vieuxtemps Competition

NAME

FIRST NAME

Date of birth

Nationality

Postal address

Telephone

Candidate's bank details

Identity card front and back

Last name and first name of the current teacher

A CV mentioning with precision the musical background of the candidate

A recent photo (JPEG/PNG)

The list of works for the semifinale, as well as the precise timing of each piece.

The list of works for the finale, as well as the precise timing of each piece.

Surname and first name of the pianist accompanist

Contact details of the pianist accompanist(postal address, telephone, email)

Message

To close the file, a sum of 100 (hundred) euros will be paid to the account : IBAN – BE52 1430 9443 0009 – BIC – GEBABEBB of the ASBL Prix artistiques de la Ville de Verviers. With the mention: name and surname of the candidate/Henry Vieuxtemps Competition / year

– The entire amount will be refunded in the event of administrative refusal

– Successful candidates will be notified by email. They will be informed of the order of appearance and the location of the service.

By registering for the Henry Vieuxtemps Competition you accept the conditions of the latter’s regulations.

1er Prix - Prix de la Ville de Verviers

Henry Vieuxtemps Competition