Application Form

Surname*

First Name*

Gender*---MaleFemale

Date of Birth*

Nationality*

Place of Birth*

Email*

ID/Passport Number*

NIF (Portuguese Applicants)

Mobile Number*

Permanent Address*

Present Professors*

Required professors for the masterclasse, by order of preference*

Please mark the box if you intend to take part in the Competitions / Special Prizes(multiple choices possible)Figueira da Foz International PrizeSpecial Prize Young TalentSpecial Prize Best Portuguese ContestantCoimbra World Piano Duo Competition

Program for the competition selection round

Concerto

Copy of I.D. (Passport for non E.U.)*

Biography

Proof of Payment of the Application Fee

I have read and accept the General Conditions and confirm my application in the Coimbra World Piano Meeting.