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    Healing With Art: Registration Form

    Uploaded by

    Salman Mahmood Qazi
    This document contains a registration form for artists to submit works of art to the Healing with Art program held by the Pakistan Kidney and Liver Institute and Research Center (PKLI&RC). The form requests contact information and details about the artist's submission. It also lists the terms and conditions, which state that submitted works will become the property of PKLI&RC, a jury will make selection decisions, and artists will not be compensated or paid royalties for any use or sale of their work. The deadline to submit artwork and registration forms is December 12, 2017.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Healing With Art: Registration Form

    Uploaded by

    Salman Mahmood Qazi
    32 views2 pages
    This document contains a registration form for artists to submit works of art to the Healing with Art program held by the Pakistan Kidney and Liver Institute and Research Center (PKLI&RC). The form requests contact information and details about the artist's submission. It also lists the terms and conditions, which state that submitted works will become the property of PKLI&RC, a jury will make selection decisions, and artists will not be compensated or paid royalties for any use or sale of their work. The deadline to submit artwork and registration forms is December 12, 2017.

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    100 k forms

    Original Title

    Healing.with .Art

    Copyright

    © © All Rights Reserved

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    This document contains a registration form for artists to submit works of art to the Healing with Art program held by the Pakistan Kidney and Liver Institute and Research Center (PKLI&RC). The form requests contact information and details about the artist's submission. It also lists the terms and conditions, which state that submitted works will become the property of PKLI&RC, a jury will make selection decisions, and artists will not be compensated or paid royalties for any use or sale of their work. The deadline to submit artwork and registration forms is December 12, 2017.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views2 pages

    Healing With Art: Registration Form

    Uploaded by

    Salman Mahmood Qazi
    This document contains a registration form for artists to submit works of art to the Healing with Art program held by the Pakistan Kidney and Liver Institute and Research Center (PKLI&RC). The form requests contact information and details about the artist's submission. It also lists the terms and conditions, which state that submitted works will become the property of PKLI&RC, a jury will make selection decisions, and artists will not be compensated or paid royalties for any use or sale of their work. The deadline to submit artwork and registration forms is December 12, 2017.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Healing with Art

    Registration Form
    Name: ____________________________________________________________________________________________

    Father/Guardian’s Name: _____________________________________________________________________________

    Date of Birth: ________/_________/__________ Age: _________________ Gender: __________________________

    Company/Institution (If Any): ___________________________________________________________________________

    Mailing Address: ____________________________________________________________________________________


    __________________________________________________________________________________________________

    Phone: _______________________Mobile: ______________________ E-mail: __________________________________

    Artist Category:
    Normal Special
    If Special Category, please specify detail:
    Special/Handicapped Artists Artists who are cirrhotic or have undergone Kidney or Liver transplant
    Artists belonging to remote rural areas of Pakistan Please specify the area: _______________________

    Art Category:
    Paintings Calligraphies Sculptures Digital Arts Graphic Arts Printmaking Drawings
    Other (If any): ____________________________________________________
    Media:
    Traditional Media Digital Media Others: _____________________________________

    Other Technical Specifications (If Any):


    _________________________________________________________________________________________________
    _________________________________________________________________________________________________

    Undertaking
    I have accepted the terms and conditions of entry and pre-selection, which I have read, and I declare that this work of
    art is entirely my own work and I hereby indemnify PKLI&RC.

    Signature: __________________________________ Date: ______/______/__________


    ----------------------------------------------------------------------------------------------------------------------------------------------------------------
    TO BE FILLED BY PKLI&RC OFFICE ONLY:

    Registration No: _______________ Date: ______/______/________ Signature: ________________________________

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    Healing with Art
    Terms and Conditions

     There is no registration fee.


     The works of art must be the original work of artist.
     The submitted works of art will be considered as donation to PKLI&RC and those will be the
    property of PKLI&RC.
     The works of art must not be contrary to our religious and cultural values.
     Maximum five (05) entries per artist/submitter are allowed.
     The work of art should be of standard size, properly framed and mountable to wall
     Registration form should be signed and submitted along with each work of art.
     Jury will comprise of highly qualified professionals from creative disciplines and PKLI&RC
    management.
     Jury’s decision will be final.
     All the submitted works of art will be the property of PKLI&RC and no compensation will be
    provided to artist/submitter.
     PKLI&RC holds the right to display, reproduce, mention, print, reprint, advertise or sell any of
    the submitted piece of art anywhere, anytime to help ailing patients and PKLI&RC will not
    take any prior approval or intimate the artist for these activities.
     Artists will not be paid any royalty or compensation.
     PKLI&RC reserve all rights to postpone or cancel the competition without prior notice.
     Last date for submission of works of art is 12th December 2017.

    Works of art along-with registration forms may be sent/submitted to the following address:
    Marketing Department
    Pakistan Kidney and Liver Institute and Research Center
    4th Floor, Salaar Center
    13 – Babar Block, New Garden Town, Lahore, Pakistan
    Phone: 042 – 38107554 │ Email: marketing@pkli.org.pk

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