International Music Fellow

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Nomination form / Formulaire de candidature
  1. Fields marked with (*) must be completed.
    Les champs avec un (*) doivent être complétés.

  2. Contact person for submission / Contact pour la candidature(*)
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  3. Email of contact person / Courriel du contact(*)
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  4. Phone number of contact person / Numéro de telephone du contact(*)
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  5. Name of Fellow Recipient / Nom du candidat(*)
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  6. Fellow Address (street/city/zip Code/country) / Adresse du candidat (rue/ville/code postal/pays)(*)
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  7. Fellow Phone Number / Numéro de téléphone du candidat:(*)
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  8. Fellow Email Address / Courriel du candidat(*)
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  9. Which music organisation is the candidate a member of? (if applicable) / A quelle organisation musicale le candidat est-il affilié ? (le cas échéant)
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  10. Biographical details (between 100-200 words) / Détails biographiques (entre 100-200 mots)(*)
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  11. Describe the Fellow’s commitment to the IMC’s Five Musical Rights / Comment le ‘IMC Fellow’ soutient-il les cinq droits musicaux du CIM: (*)
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  12. Amount of contribution (minimum 1000 €) / Montant du don (minimum 1000 €)(*)
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  13. Who will finance the contribution? / Qui finance le don?(*)
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  14. Antispam(*)
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