Form-1 — RANGARATHA

Street Address

City, State, Zip

Phone Number

Indian Performing Arts Company

Your Custom Text Here

FORM - 1

Registration Form for

10 Days / MON to FRI ~ 6:30 AM to 9:30 AM / WEEKENDS OFF / Central Mysuru

14 Days / MON to FRI ~ 6:30 AM to 9:30 AM / WEEKENDS OFF / JP Nagar, Near Ragigudda Anjaneya Temple, B-78

Name

First Name

Last Name

Phone

Alternate Phone Number / Name / Relationship

Date of birth

YYYY

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Education qualification

Which Program you want to join?

Experience in Acting

Other skills and hobbies

What you expect to learn from this program?

Do you want to take acting / direction / filmmaking as your career?

Any Medical Concern? If Yes, mention.

Anything you want to ask / inform us?

PLEASE NOTE