SECTION / AFDELING:

MUSIC LOVERS’ NETWORK / MUSIEKLIEFHEBBERS NETWERK (MLN)

GENERAL INFORMATION FORM –

NB. ONLY FOR MUSIC LOVERS’ NETWORK

** Please complete this form and fax it to: 086 523 6400

OR Email this form to: salomehendrikse@gmail.com

SURNAME, INITIALS & TITLE:  (print please)  ………………………………………………….

CALLING NAME (print please) …………………………………………………

Home address OR Postal address (print please) ………………………………………………………………………………

………………………………………………………………………......................................................…..(code) ………….

Cell number:  ………………………………. E-mail  ……………………………………..

IN WHICH COUNTRY ARE YOU LIVING? ……..……………………………………………………………………….

IN WHICH PROVINCE ARE YOU LIVING? ...……………………………………………………………………………

TOWN / CITY WHERE YOU ARE LIVING? ……………………………………………………………………………..

   (WHERE YOU WOULD LIKE TO ATTEND THE PRESENTATIONS)
 

PTO

APPLICABLE ONLY FOR: MUSIC LOVERS’ NETWORK

MORE INFO ABOUT YOURSELF & YOUR INTEREST IN MUSIC

Thank you for the information!

1.  Have you taken lessons in piano or any other instrument?

• Please write down any instruments that you can play ………………………..….....

• How many years did you take lessons in this specific instrument?………………..

• Have you completed any exams in this specific instrument/s?  ………………….

• What is the highest standard that you have completed ? ………………………….

2. Theory of music:

• Have you taken theory of music and for how many years?  ……………......………

• Did you complete any exams in the theory of music? …………………….....……..

• Which is the highest exam that you have completed in theory?  ……………….…

3. Choral singing:

• Did you take part in choral singing? (Do write below for how many years you have sung in a specific choir and which type of voice do you have – eg soprano)

• Primary school level: …………………………

• Secondary school level:  ……………………….

• Graduate & Postgraduate level: In which choirs have you sung and for how many years: ………………………

• Church choirs: How many years have you sung in a church choir? ………………………………….……………

4. Anything else that you would like to mention?

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For more information:

Please phone Dr. Hendrikse – 083 417 5987 / 083 570 8501

Fax: 0865236400