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Embassy of Ukraine in the Republic of Singapore
        International choreographic festival-contest for children and youth “Misteria Dance”
                                                                     Application Form
          of the International choreographic festival-contest for children and youth “Misteria Dance”

Team title ____________________________________________________________________________

Supervisor ____________________________________________________________________________

Establishment that represents
the team _____________________________________________________________________________

Address ______________________________________________________________________________

Index ________________________________________________________________________________

Number of participants
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Number of attendants ___________________________________________________________________

Age-group ____________________________________________________________________________

Contest program
1. ___________________________________________________________________________________
Nomination ____________________________________________________________________________

2. ___________________________________________________________________________________
Nomination ____________________________________________________________________________

Tel, fax, e-mail
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Additional information (awards, participation in festivals and contests):
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Юр.адр.: Україна, 04050, м.Київ,
вул.Мельникова, 12
Факт.адр.:Україна, 01135, м.Київ,
вул.Дмитрівська, 71
Тел.: +38(044)490-76-82 (вн.191)
ЄДРПОУ 35211182
П/п 26002030800241
в Радянському відділенні
КМФ АКБ "Укрсоцбанк"
МФО 322012
    Final and gala-concert will take place on 16-18 April 2008 in Kiev.

For more details, please, refer to the following contacts:

Ukraine, 01135, Kiev, 71 Dmytrivska Street, off.407
Tel. :+38 (044) 490 76 82,+38(044)490 54 81, 8(067)439 59 19
E-mail: md@event.ua