KWAZULU-NATAL YOUTH CHOIR

AUDITIONS 2016

APPLICATION FORM

(PLEASE PRINT CLEARLY)

E-mail: mroloff@absamail.co.za Audition Fee Paid

1. EDUCATIONAL INSTITUTION – CURRENT Accepted

School/University’s name: ____________________________________________________School/University’s phone number: _____________________________________________School/University’s Fax Number: ______________________________________________School/University’s e-mail address: _____________________________________________School/University’s Postal address: ___________________________________________________________________________________________ Postal code: _______________ University’s name in 2016 if currently in Matric: ___________________________________Occupation and Employer: ___________________________________________________

2. CANDIDATE’S INFORMATIONSurname: ________________________________________________________________ First name: _______________________________________________________________Male Female: School Grade: _________________________ID Number: _____________________________________Age: ______________________Date of birth: ______________________________________________________________(Copy of ID Document or Birth Certificate attached)Cell: _____________________________________________________________________E-mail address: ____________________________________________________________Voice part: _______________________________Range:___________________________Name of Medical fund:

_______________________________________________________Home address: ____________________________________________________________

_____________________________________________________________ ___________________________ Postal Code: _______________________

Postal address: ____________________________________________________________ _____________________________________________________________

___________________________ Postal Code: _____________________ Please tick with whom and where you will be residing in 2016:

a) with both parentsb) motherc) fatherd) boarding schoole) University residencef) Other address and telephone number

____________________________________________________________________ ____________________________________________________________________

PLACE PASSPORT

PHOTO HERE

Y N

Y N

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3. PARENT/GUARDIAN’S INFORMATIONFatherTitle &Surname: ____________________________________________________________First Name: _______________________________________________________________Home address: ____________________________________________________________

_____________________________________________________________ ___________________________ Postal Code: _______________________

Postal address: ____________________________________________________________ _____________________________________________________________

___________________________ Postal Code: _______________________Telephone - Home: _________________________________________________________Telephone - Work: __________________________________________________________Cell: _____________________________________________________________________Fax No. Home: ____________________________________________________________Fax No. Work: _____________________________________________________________E-mail: ___________________________________________________________________ID Number: _______________________________________________________________Employer: ________________________________________________________________Occupation: _______________________________________________________________

Signature of Father: _________________________________________________________

MotherTitle &Surname: ____________________________________________________________First Name: _______________________________________________________________Home address: ____________________________________________________________

_____________________________________________________________ ___________________________ Postal Code: _______________________

Postal address: ____________________________________________________________ _____________________________________________________________

___________________________ Postal Code: _______________________Telephone - Home: _________________________________________________________Telephone - Work: __________________________________________________________Cell: _____________________________________________________________________Fax No. Home: ____________________________________________________________Fax No. Work: _____________________________________________________________E-mail: ___________________________________________________________________ID Number: _______________________________________________________________Employer: ________________________________________________________________Occupation: _______________________________________________________________

Signature of Mother: ________________________________________________________

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Legal Guardian

Title &Surname: ____________________________________________________________First Name: _______________________________________________________________Home address: ____________________________________________________________

_____________________________________________________________ ___________________________ Postal Code: _______________________

Postal address: ____________________________________________________________ _____________________________________________________________

___________________________ Postal Code: _______________________Telephone - Home: _________________________________________________________Telephone - Work: __________________________________________________________Cell: _____________________________________________________________________Fax No. Home: ____________________________________________________________Fax No. Work: _____________________________________________________________E-mail: ___________________________________________________________________ID Number: _______________________________________________________________Employer: ________________________________________________________________Occupation: _______________________________________________________________

Signature of Guardian: ______________________________________________________

PERSON RESPONSIBLE FOR ALL FEE / ACCOUNT PAYMENTS:

Name: ___________________________________________________________________Relation to Chorister: ________________________________________________________ID No: ___________________________________________________________________

Home address: ____________________________________________________________ _____________________________________________________________

___________________________ Postal Code: _______________________

Postal address: ____________________________________________________________ _____________________________________________________________ ______________________________ Postal Code: ____________________

Signature: ________________________________________________________________

ANY FORM NOT FULLY COMPLETED WILL RESULT IN A “NON-AUDITION”

NO AUDITION WILL BE DONE WITHOUT AN ID DOCUMENT/BIRTH CERTIFICATE