| 1. |
Name in full (Block letters) |
: |
|
| 2. |
Date of Birth |
: |
DD :
Month:
Year:
|
| 3. |
Nationality |
: |
|
| 4. |
Mother Tongue |
: |
|
| 5. |
Address |
: |
|
| 6. |
E-MAIL |
: |
|
| 7. |
Academic Qualifications |
: |
|
| 8. |
Course applied for (Indian Theatre/Mohiniattam) |
: |
|
| 9. |
Brief description about your experience in theatre
(If any) |
: |
|
| 10. |
Languages known |
: |
|
| (11th, 12th, 13th are applicable for Foreign Students Only) |
| 11. |
Passport No. and
Date of Issue (Optional) |
: |
DD :
Month:
Year:
|
| 12. |
Country of origin &
validity of the Passport (Optional) |
: |
|
| 13. |
(a) Visa details
(Student Visa/Tourist Visa) (Optional) |
: |
|
| |
(b) Validity of Visa |
|
|
| 14. |
Local Guardian and address (Optional) |
: |
|
| |
|
|
