Date of Birth:
Phone nos. (Mobile and landline):
Applicant’s short bio-note (maximum 150 words):
Number of poems/short stories/plays submitted:
If any part of your submission has been published before, please provide publication details:
I hereby declare that all the information provided by me in this form is true to the best of my knowledge. The writing(s) I have submitted for the 2018 TOTO Award for Creative Writing in Kannada are my own work and entirely original.
I also declare that I have read the section titled The Fine Print in the Call for Entries and agree with all the terms and conditions set out therein.
(Signature of applicant)