THE BANGALORE CONSERVATORY | SUMMER MUSIC SEMINAR 2017

For office use only:

Student ID#: ______________________
Date received: _____________________________

Admission Status: _________________________

Remarks: ___________________________________

Scholarship: ________________________________
Application Form

Instructions for filling up the form

i.
Check the last page of this to document to know the list of
documents attached along with this application
ii.
Name and permanent address information should match the ID and
address proof documents provided by you.
iii.
Make sure all the information is filled legibly.
Applications will be accepted based on verification of information
written and documents provided as proof. If information is found to be
false admission will not be granted.

Affix a Passport Size

Photo Here

A. Personal Information:

First Name: ____________________________

Last Name: _______________

Date of Birth: __________________________

Marital Status:

Instrument:

Single

Voice

Gender:

Female

Male

Married

Piano

Guitar

Drums

B. Address for Communication: your immediate contact information

i.
Mention your local residing address.
ii.
International students and students who are from other states than Bangalore,
iii.

fill-in your local residing address in this section.

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
City: __________________________________

Pin code: __________________________

State: ___________________________________

Country: __________________________________________

Mobile: __________________________________

Phone: ___________________________________________

Email:_________________________________________
Application Form 2017 | The Bangalore Conservatory

C. Permanent Address: your permanent house of residence

i.
Mention your permanent residing address
ii.
International students and students who are from places other than Bangalore,
iii.

fill-in your home address in this section.

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
City: _______________________________________________________ Pin code: __________________________
State: ___________________________________

Country: __________________________________________

Mobile: __________________________________

Phone: ___________________________________________

D. Family: Parents/Spouse/Guardian Information.

Do you live with your Parents/Spouse/Guardian?

Parents

Guardian

Spouse

Fathers/Legal Guardian/Spouses Name:

First Name: _____________________________________

Last Name: ___________________________________________

Mobile No: ______________________________________

Email: _________________________________________________

Residing address of Parents/Spouse/Legal Guardian:

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
City: _______________________________________________________

State: ___________________________________

Pin code: __________________________

Country: __________________________________________

E. Education Information
Highest level of education: ___________________________________

Currently in 10th Standard

Diploma

10th Pass
Graduate

Post-Graduate

Application Form 2017 | The Bangalore Conservatory

12th Pass
Doctorate

Mention the list of Academic training you have received:

Programme

Name of

Place of

Year of

Marks and

Institution

Institution

Completion

Grades

Music Education: Mention the list of training in music you have received.

Course

Instrument

Name of

Place of

Institution

Institution

Application Form 2017 | The Bangalore Conservatory

Duration/Year

F. Reference:
Provide the contact information and email address for a person who is qualified to evaluate your academic and musical
potential and knows you well enough to fill out a referral form.
References should not include your following people.
i. Immediate family members such as brothers, sisters or parents
ii. Any current staff or faculty of The Bangalore Conservatory.
Reference 1:

Title (Mr. /Mrs./Miss./Dr.): _________________

Name: ____________________________________________________

Address: __________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
City: ______________________________________________________

Pin code: ________________________________________

State: ________________________________________________

Country: ____________________________________________

Phone: _______________________________________________

Email: ________________________________________________

Reference 2:

Title (Mr./Mrs./Miss./Dr.): _________________

Name: ____________________________________________________

Address: __________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
City: ______________________________________

Pin code: ________________________________________

State: ________________________________________

Country: ____________________________________________

Phone: _______________________________________________

Email: ________________________________________________

Reference 3:

Title (Mr./Mrs./Miss./Dr.): _________________

Name: ____________________________________________________

Address: __________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
City: ______________________________________________________

Pin code: ________________________________________

State: ________________________________________________

Country: ____________________________________________

Phone: ________________________________________________
Email: ________________________________________________
Application Form 2017 | The Bangalore Conservatory

G. Statement of Purpose:
Describe in about 500 Words your experience as a musician and your reasons for desiring to pursue higher
studies in Music.
Write in a separate sheet of paper and attach to this document.
H. Statement of Faith
Describe in about 500 Words describe your religious experience and background and what you believe
Write in a separate sheet of paper and attach to this document

Declaration of Cooperation
I, ______________________________________ am willing to abide by the rules of the institution laid down by the
administration and shall willingly participate in all aspects of the Program, including those which involve
Christian music, worship and instruction. I understand that successful passing of the Summer Music Seminar by
maintaining a grade average of C or higher is required for acceptance to Bachelors of Music Degree Programs.
Signature: _________________________________

Date: _________________________________

Application Form 2017 | The Bangalore Conservatory

List of documents to be attached along with application

Attach the following documents along with the admissions form.

1. Three Copies of Passport Size Photo

1. Affix one passport size photo with glue in the first page of the application
2. Attach the other two pictures along with the application for office use.
2. ID Proof: Any Governmental ID Proof: (Any One. Mandatory)
1. PAN Card
2. Aadhar Card
3. Passport
4. Driving License
3. Address proof of Permanent Residence: (Any One. Mandatory)
1. Aadhar Card
2. Driving License
3. Passport
4. Rental Agreement: (In Applicants Name or Parents Name).
4. Scanned copy of certificates for training and awards received: (Optional)
If you have received any certificates for the training you have received in Music or have
received any award certificates in music. Attach it along with the application.

Application Form 2017| The Bangalore Conservatory