IDS - Registration

MINISTRY OF ARTS AND CULTURE

7^th Floor, Renganaden Seeneevassen Building
Cnr Maillard & Pope Henessy Streets, Port Louis
Tel:213 1447; Fax: 210 7992 http://culture.govmu.org

International Development Schemes: International Travel Grant, Assistance for participation in International Award Ceremonies and Assistance for participation in International Competitions

APPLICATION FORM

* are mandatory fields and need to be filled

Section 1: General Information for Applicant /Group Leader where applicable

Surname (Block letters) *

Other Name (Block letters)

Maiden Name

Title (Mr. / Mrs. / Miss)

Name of Group

National Identity Card No.

Residential Address

Tel

Mobile

Fax

E-mail

Occupation

Employer

Office Address

Section 2: Scheme applying for (please select as appropriate)

International Travel Grant Scheme (for festivals)

Participation in International Competitions Scheme

Participation in International Award Ceremonies Scheme

Section 3: Title of Festival/ Competition/Award Ceremony

Section 4: Itinerary

Itinerary

Date of Departure

Date of Arrival

Section 5: Total Amount of Grant Applied

Section 6: For Groups

SN	Name (eg.Musician/Dancer/etc.)	Designation

Section 7: Project Description

Brief description of project

Section 8: Financing of Project

Project financing	(Rs)
Amount of grant being requested (the lowest air fare among the 3 quotations from Travel Agencies)
Personal Financing
Sponsors
Total

State sponsors

Section 9: Previous Grant/s obtained from the Ministry

SN	Project	Name of Group	Year	Amount

Section 10: Brief on Experience of group/artists*

*Give details including documentary evidence (press cuttings, etc to be attached)

Please attach documentary evidence(Max file size 3Mb)

Section 11: Documents to be submitted

Please ensure that the following important documents are submitted and tick as appropriate

Letter of invitation/selection/nomination from Organiser

Selection criteria/procedure

Personal/group portfolio

3 Quotations from local air travel agencies

NID Card

Vaccination Card

Registration Card at MAC or MASA

Please attach documentary evidence mentioned in section 11 (Max file size 3Mb)

Section 12: Declaration

* I/We hereby, having read and understood the guidelines and conditions for eligibility for the Scheme applied for, certify that I am agreeable to the conditions therein and all the information submitted is true. I understand that application not made on the prescribed form or incomplete application or failure to submit relevant details and annexures may lead to disqualification. I also undertake that I have declared all financial or other assistance obtained or requested for this project besides assistances sought from the Ministry of Arts and Culture.

I clearly understand that omission of any information on my behalf will make me liable to legal action and cancellation of any assistance from the Ministry of Arts and Culture.

I understand that the filling-in of this application form does not automatically guarantee assistance from the Ministry of Arts and Culture under this scheme.

Date: