Surat Undangan

Formulir Pendaftaran

Nama Lengkap:..................................................Tanggal lahir:...................................................
Suami/Isteri, anak2(umurnya):....................................................................................................
Alamat:.....................................................................................................................................
Telp:.....................................Fax:.....................................Email:..................................................
Yayasan:.........................................................................Agama:.................................................
NoKTP:.........................................Paspr:.........................................Berlaku s/d.........................
SIM:.................................................Berlaku /d:..........................................................................
Pendidikan:.................................................................................................................................
Pengalaman Pekerjaan (tolong lampirkan biografi dan foto2):........................................................
...................................................................................................................................................
Angotta Yayasan:........................................................................................................................
Apakah anda bisa Bahasa Inggeris?....................................Bahasa Lain.......................................
Apakah anda mau datang ke Australia untuk acara pertukaran kebudayaan? kapan?......................
........................................................................Negara yang lain?..................................................
Apakah anda nau mengajar Seni Indonesia di Australia?:................................................................
Tarian:
Java..............................
Sunda...........................
Bali..............................
Sumatra.......................
Lain-lain.......................
Drama.........................
Wayang.......................
Silat.............................
Musik: Gamelan
....................................
...................................
...................................
...................................
....................................
Menyanyi.....................
Kroncong.....................
Dangdut.......................
Senilukis:
Realist..........................
Modern.......................
Cat minyak..................
Cat Air........................
Bali..............................
Batik............................
Patung..........................
Gambur........................
Kerajinan Tangan:
Tenun..........................
Mengukir Kayu............
Mengukir Batu..............
Kulit.............................
Pahat............................
Film..............................
Menulis.........................
Puisi..............................
Saya setuju kalau nama dan foto karya saya di lampirkan lewat internet............................................
Saya bersedia mendaftarkan diri untuk ikut acara pertukaran kebudayaa di Australia:
Tanda Tangan.....................................................................Tanggal.............................................
Terima kasih atas pendaftaran anda. Kami akan usahakan mempromosikan anda sebagai guru seni di Australia. Maaf tidak ada jaminan. Tolong supaya formulir ini di fotocopy dan di berikan kepada seniman dan seniwati dalam bidang seni lukis, seni tari, musik, menulis, kerajinan tangan dan Lain-lain.

Surat Undangan