ARTIST FORM 

(For women artists of Her Presence In Colours-

International Women Artists Exhibition only )

 

No: _______________

 

 

Artist’s photo

 

Name:

 

Date of Birth :

 

 

Place of Birth:

 

IC/Passport No:

 

 

Place Issued:

 

Address and Postcode

 

 

 

Tel & Fax

 

 Mobile:

 

E.mail:

 

 

 Web-site:

　

Occupation:

 

Education:

 

 

Title of artwork and year work was created

 

Medium of work:

 

 

Dimension

 

Price of artwork

(US$)

 

Experiences related to art :

 

 

 

 

Honors/Awards:

 

 

Solo Exhibitions:

 

 

 

 

 

 

Group Exhibitions:

 

 

 

 

 

 

Important Collections:

 

 

 

 

Please attach information separately when required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUPPORTING MATERIALS   －( Please tick   Ö   to notify  ).

 

No.

Particular

Please tick   Ö 

1

 Completed Artist form / or other related documents

 

2

1 passport size photographs (latest)(10cmX15cm size)

 

3

Image of artwork （please send image document in Jpeg format-to provide

 

4

Biography about the artist( not exceeding 300 words)

 

5.

Registration fee 225US ( not inclusive of bank charges) payment by cash/check/money order/ bank draft or other_________

 

 

 

 

 

 

 

  

 

 

CONFIRMATION STATEMENT
I hereby confirmed that the above information is correct. I agree to participate in "Her Presence In Colours X – International Women Artists Exhibition- Vietnam 2012".  I agree to abide by the terms and conditions of exhibition.

 

I consent Conservatory of Fine Arts and its authorized organization/body to duplicate and use the information and materials provided for the purposes of printing and publishing in any form to the public, for the purpose of promoting women’s Art.

 

Name ___________________________________

 

Signature__________________________            Date_____________

 

Please return complete ARTIST FORM together with your REGISTRATION MATERIALS

 

To:

Dr. Yuen Chee Ling (Director)

Conservatory of Fine Arts / International Women Artists Council (INWAC)

8-G-4, Sunny Point Complex, Jalan Sultan Azlan Shah, 11700 Penang, Malaysia

Tel: +604- 6590248, +604- 5375388 Mobile: + 6-0125726116

Email: cfaapt@yahoo.com ;art_her@yahoo.com

　

 

Payment by cheque/ bankdraft/ bank transfer, please make payable to:

Name:

YUEN CHEE LING

A/C Number:

0068922002

Bank:

CITIBANK BERHAD, PENANG BRANCH

42, JALAN. SULTAN AHMAD SHAH 10050 PENANG

 

Swift Code: CITIMYKL

Routing No: 10991151