Longest Non Stop 24 Hours Bharathanatyam Dance Marathon

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( Dheiva Tamil Natyam )
17th National Dheiva Tamil Natyam Festival 2006
Application Form
Contact : 016-6180785

* Date : 30th & 31st December 2006

Kuala Lumpur

Saturday-Sunday

Date : 30th December 2006 11am MEDIA PRESS

Date : 31st December 2006

AWARDS,CERTIFICATE GIVING CEREMONY FOR DANCE TEACHERS and DANCE SCHOOLS

* Note: F&B and PROVIDED

Sujatha Nair

Kala Mandhir Natyalayam

Kulim

Kedah

Longest Non Stop 24 Hours Dheiva Tamil Natyam Dance Marathon

An Attempt Entry of Into The World Book of Records

G.P.OBOX: 13030, KUALA LUMPUR
50796 MALAYSIA
E-MAIL:tamildance@yahoo.com

Registration Form

Details

Full Name:

Commercial Name:

Sir Name:

Mother Name:

Mother Tongue:

Race:
Tamilian Non Tamilian Specify)

Religion:

Hight:

Weight:

Marital Status:

Education:

Date of Birth:

Place of Birth:

Age:

Sex:

Nric No:

Address(H):

Address(O):

Hobby:

Ambition:

Spoken Language:

Written Language:

Working Destination:

Contect No:

E-Mail:

Reference :

Name:

Contect Number:

Address:

Relationship:

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Signature       &             Date

I HEREBY AGREE AND ABIDE TO THE RULES & REGULATIONS OF

Longest Non Stop 24 Hours Bharathanatyam Dance Marathon



                          ( Pls Print Out & Fill Up Post to Above Addree)

Arthanaatheeshvarar on Prapancham > Bharatha Nadanamani Tharshini Sri Ezhilan -Shah Alam