Page 1 ACADEMIA INTERNACIONAL DE MÚSICA “AQUILES
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Page 1 ACADEMIA INTERNACIONAL DE MÚSICA “AQUILES
Application form (Recorder) | Academic Year 2016/17 Please write in capital letters. Surname________________________________________________________________ First Name______________________________________________________________ Gender M F Date of Birth___________________________ Nationality_________________________ Place of Birth__________________________ E-mail_____________________________ ID/Passport Number ___________________ NIF (Portuguese applicants)________________ Mobile Phone____________________ Permanent Address_______________________________________________________ _______________________________________________________________________ You are interested in the following Masterclass: António Carrilho / Solo + Chamber Music / September 2016 António Carrilho / Chamber Music / September 2016 Important: The applications (2 pages) should be sent to the following email address [email protected] , before the established deadlines (see website). Please include a copy of the following documents: - Copy of I.D. (Passport for non E.U.) - Biography - Proof of payment of the administration fee General Information: ACADEMIA INTERNACIONAL DE MÚSICA “AQUILES DELLE VIGNE” Rua António Gustavo Moreira, 80, 4.3 – 4400-660 Vila Nova de Gaia - Portugal Mobile: + 351 934 274 585 Mail: [email protected] Site: www.a2dv.pt 1. Administration fees: To all the events in the Academic Year 15/16: 160€ (Annual ) To any ramdom masterclass : 70€ Administration fee should be transferred to the following Bank Account, before the application deadline: IBAN : PT50 0033 0000 45464230189 05 Swift: BCOMPTPL Account holder: A2DV ACAD INT M AQUILES DELLE VIGNE LDA Address: LG ANTONIO LIMA FRAGOSO 12 3060 503 POCARICA PORTUGAL Administration fee will not be returned under any condition. Costs of the transaction must be assumed by the applicant. 2. Tuition Fees - António Carrilho / Solo + Chamber Music / September 2016 510€ per student - António Carrilho / Chamber Music / September 2016 425€ per group Tuition Fees Should be transfered to the above bank account no later than 15 days before the begining of the masterclass. I accept the conditions stated in this document and confirm my application for the studies in 2015/2016 in the Academia Internacional de Música. Place_________________________________________________________________ Date _________________________________________________________________ Signature______________________________________________________________ ACADEMIA INTERNACIONAL DE MÚSICA “AQUILES DELLE VIGNE” Rua António Gustavo Moreira, 80, 4.3 – 4400-660 Vila Nova de Gaia - Portugal Mobile: + 351 934 274 585 Mail: [email protected] Site: www.a2dv.pt