Juming for Applications Form – Individual Application Case Number: (For Museum Use Only) □□□□□□ Date Received: / / / (For Museum Use Only) (Ch) Date of Birth: (yyyy/mm/dd) □Male ID No.: Name □Female (Eng) Place of Birth: Permanent Address: Postal Code □□□-□□ Mailing Address: Postal Code □□□-□□ Tel: (O) (H) Mobile: Fax: e-mail: Nickname: How did you learn about this event? ___________________ Current Position: Full-time Part-time Volunteer □ □ □ School or Organizational Major Years Enrolled Diploma or Certificate Name Highest Degree and Professional Training Year Exhibition or Debut Records Major Exhibitions or Debut Records Artwork History Award History Year Title Year Please copy this page or attach more pages if additional space is needed. I hereby declare to Juming Museum that all information and attachment provided are true to the best of my knowledge. Applicant: (signature) (yyyy/mm/dd) Juming for Applications Form – Group Application Case Number: (For Museum Use Only) □□□□□□ / / / Date Received: (For Museum Use Only)
Juming for Applications – Form Individual Application Case Number: □□□□□□ (For Museum Use Only) Date Received: / / / (For Museum Use Only) Name (Ch) □Male □Female Date of Birth: (yyyy/mm/dd) ID No.: (Eng) Place of Birth: Permanent Address: Postal Code □□□-□□ Mailing Address: Postal Code □□□-□□ Tel: (O) (H) Mobile: Fax: e-mail: Nickname: How did you learn about this event? ___________________ Current Position: □ Full-time □ Part-time □ Volunteer Highest Degree and Professional Training School or Organizational Name Major Years Enrolled Diploma or Certificate Major Exhibitions or Debut Records Year Exhibition or Debut Records Artwork History Award History Year Title Year Please copy this page or attach more pages if additional space is needed. I hereby declare to Juming Museum that all information and attachment provided are true to the best of my knowledge. Applicant: (signature) (yyyy/mm/dd) Juming for Applications – Form Group Application Case Number: □□□□□□ (For Museum Use Only) Date Received: / / / (For Museum Use Only)