15 - 2018 CHITRA SANTHE Karnataka Chitrakala Parishath (R) Photo Kumara Krupa Road, Bengaluru Reg. No. Name Date of Birth Age Qualification Address Phone Email Address of the Institution (only in case of art colleges) Lagree to abide by the rules and regulations of the Chitra Santhe. Tam herewith submitting a DD for Rs. 300/- drawn in favour of Karnataka Chitrakala Parishath, Bengaluru, on Bank detail DD No. Date Note : Last date of submission of Application with DD is Thursday, 30th November 2017. Please tick any one of the appropriate box only. Professional Artist Hobby/Self-taught Artist Traditional Artist Student Institution Siganture15 - 2018 CHITRA SANTHE BMF wBsE UBZeoo WOMS* (0) Bano Fg OF, eorteed. OM, BFS Baevmoed Bae” (womes ocmamodes Om, AOFSRAGS, SBS Avs) BZ Nogoh ay Howler wags, srarus wyseoo WoRgs wAori HAS te. 300/- Begs @.B.08.000K wate osm, FOMIGES. mR, ABSA TDA : HOMPLO Bra weterisd saQodear Modems 308e Ssowo® 20170 ws Saori Seoweiew. Bi SASANGY dey wyoogs Mas wos BRAG BmR,A/ Oss BOB FONT HOMMohHs seas OoROF AD, AOA, 3 2