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Welcome to the Edward Said National Conservatory of Music
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Personal Details
Personal Details
First Name
*
Last Name
*
Mobile phone number
*
Add country prefix: (+###) ########
Home phone number
Email
*
Palestinian Origin
Please tick box if you have Palestinian origin.
Current Address
Country
*
Town/City
*
Current City and Country of Parent/Guardian
Telephone of Parent/Guardian
Email of Parent/Guardian
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Instrument
Instrument
Instruments
*
- Select a value -
Singing/Choir
Bassoon
Cello
Clarinet
Contrabass
Flute
French Horn
Harp
Oboe
Timpani/Percussion
Trombone
Trumpet
Tuba
Viola
Violin
Level Attained
*
Other Instrument(s)
Level Attained
Training and Education
Present (or last) Teacher
Teacher’s Contact (email or phone number)
Level of music education attained
*
- Select a value -
Conservatory Current Student
Conservatory Graduate
University Current Student
University Graduate
Private/None
Certificates Attained
*
Orchestral/Ensemble Experience
Have you participated in the Palestine Youth Orchestra before?
*
Yes!
No!
Years of participation
References
Please provide the contact information of two teachers or colleagues who would be willing to give references should we require them.
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Passport Info
Passport Info
Please fill in the information as it appears in your passport. Passport must be valid until August 2024.
Full Name
*
(as written in passport)
Date of Birth
*
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Month
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Year
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Nationality
*
Place of Birth
*
Passport Number
*
Date of Issue
*
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Year
2014
2015
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2022
2023
2024
Date of Expiry
*
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Jan
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Jul
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Nov
Dec
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Issuing Office/Authority
*
Address
If written in passport
Copy of Passport
Please attach scanned copy of passport.
Add a new file
*
Files must be less than
12 MB
.
Allowed file types:
pdf jpg png jpeg tiff
.
For Palestinian ID holders
If you are a holder of a Palestinian ID please provide the following:
Full Name in English
(Your name, your dad’s name, your family name)
Full name in Arabic
ID number
Magnetic Card number
Upload Copy of ID
Add a new file
Files must be less than
12 MB
.
Allowed file types:
png gif jpg jpeg
.
Upload Copy of Magnetic Card
Add a new file
Files must be less than
12 MB
.
Allowed file types:
png gif jpg jpeg
.
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Payment Details
The workshop fee is $200. Payment must be made once accepted. - If you are a resident of Palestine, payment should be made to one of the ESNCM branches. - If you are a resident of another country, payment must be made via either BANK TRANSFER or WESTERN UNION.
I am a resident of
*
- Select a value -
Palestine
Egypt
Jordan
Other
I wish to pay by
*
- Select a value -
Western Union
Bank Transfer (############)
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