Application
Form
Applicant’s Name:
Date of Birth:
Email address:
Phone nos. (Mobile and
landline):
Postal Address:
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:
DECLARATION
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)
________________________________
__________________________
(Place) (Date)
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