VALDELARTE / APPLICATION FORM ARTISTIC RESIDENCE
To make the residence if elected, it is required Covid passport or vaccination certificate full.
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Email *
NATIONALITY *
SURNAME & NAME *
ID No *
BIRTH DATE *
MM
/
DD
/
YYYY
ADDRESS, PC, CITY *
PHONE NUMBER(S) *
RESPONSIBLE STATEMENTS: *
RESPONSIBLE STATEMENTS: *
A copy of your responses will be emailed to the address you provided.
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