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APPLICATION FORM X Concorso Nazionale di Composizione Sacra Anima Mundi (10th National Anima Mundi Competition of Sacred Music Composition) Surname ______________________________________________________ First Name ____________________________________________________ Date of birth ___________________________________________________ Place of birth ___________________________________________________ Nationality ____________________________________________________ Resident in _____________________________________________________ Post code ______________ Province.________________________________ Street ___________________________________________ no. __________ Tel. ___________________________________________________________ e-mail _________________________________________________________ The entire regulations of the Anima Mundi National Competition of Sacred Music Composition having been duly noted, I confirm that I accept, fully and unconditionally, all the regulations, and I hereby declare my participation in the contest under the motto, initials or pseudonym: I enclose the following documents: - a copy of my curriculum vitae; - any letter of presentation from a composer and / or recognised teacher; - Six (6) copies of each composition presented as required under art. 2 of the announcement, which are attached to the outside of this sealed envelope and identified only by the above mentioned motto, initials or pseudonym; - an audio CD (not mandatory), also attached to the outside of this envelope and identified only by the motto, initials or pseudonym. All materials must be sent by registered mail to the competition administrative office in a sealed envelope, before and no later than April 20, 2017 (as attested by the postmark): Concorso di Composizione Sacra Anima Mundi Opera della Primaziale Pisana Piazza Arcivescovado n. 1 56126 Pisa - Italy Privacy. I hereby agree, in accordance with current privacy legislation (Legislative Decree. 196/2003), to the use of my personal data herein stated by Opera della Primaziale Pisana Concorso di Musica Sacra Anima Mundi, solely for the procedures necessary for the conduct of the competition in all of its phases. Date___________________ Signature________________________________