SOUTH ZONE CULTURAL CENTRE, THANJAVUR, INDIA APPLICATION FORM REGISTRATION AS AN ARTIST

Registration Number

1. First Name *

2. Last Name *

3. Gender *

Male Female Transgender Male Female Transgender

4. Community *

SC ST OBC OC SC ST OBC OC

5.Able / Differently able *

Able Differently Able Able Differently Able

6. Date of Birth

7. Age

8. Marital Status

Single Married Single Married

9. Organization

10. Address Line 1

11. Address Line 2

12. Place

13. Pin Code

14. District

15. State *

Select Andaman and Nicobar Andhra Pradesh Karnataka Kerala Lakshdweep Puducherry Tamil Nadu Telengana AN AP

16. Phone Office

17. Phone Residence

18. Mobile

19. Fax Number

20. E-Mail

21. Website

22. Aadhar Card / Voter Identification card

a . Aadhar Card

b. Voter Identification card

23a. Grade

23b. Art form *

23c. State the type of Art form *

Select Folk Tribal Fine Arts Classical Theatre Literature Others

Submit

Method of Registration of Artists

1. Any artist can register at our website http://www.szccindia.org/ by entering the relevant details. Print out of the application along with CD (Name and Reg no. may please be super scribed on the CD) containing the performance may be sent to : South Zone Cultural Centre, ‘Dakshini’, Medical College Road, Thanjavur, Tamil Nadu-613004

2. Any Artist can Register make more than one registration if he /she wishes to apply in different art forms.

3. After Receipt of the registration number change of address, change of troupe members, death of a member, cancellation of the troupe etc. will be accepted only after one month of registration and will be accepted based on documentary proof either through online or offline by SZCC.