APPLICATION FOR ENROLMENT OF NAME FOR PERFORMANCE OPPORTUNITY IN THE DEPARTMENT OF CULTURE PROGRAMMES CATEGORY: A-National Level B-State Level C-Rural Arts/Folk Arts D-Young and upcoming Artist NAME OF THE ARTFORM(S) 1. Artist ID Card No:....................... 2. Name of the Artist / Organization: ............... 3. Father's Name / Husband Name:.................. 4. Address of correspondence:................. ............................ 5. Date of Birth (if individual): ................ 6. Reservation Category : .................. 7. Name of Guru:...................... 8. Details of Performances National /State/District level:...... ............................. 9. Details of Gradation (if any): .................. ............................. 10. Details of Awards /Rewards received National /State Level:..... ............................. 11. Any other information : Date: SIGNATURE please enclose all certificates / Press clippings and Performance Photographs.