• Title:   Shri.          Smt.  
• Artist's First Name:

  Artist's Middle Name:

  Artist's Last Name:

• Postal Address for all correspondence and for returning the entries:
• Country:
  

  Telephone
  

  E-mail
  

  Fax
  
• ID Proof:
  Select ID Proof PAN No GST No Voter IDcard

  
  

  Website
  
• Date of Birth:
  

  Place of Birth
  

  City
  

  State
  
• Nationality:
  

  Academic Study:
  
• Participation in Major National and International Exhibitions:
• Prizes, Awards & Honors:
• Important Public Collections:
• Current professional activities/status:
• Any other information:

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• Sr. No.	Title of Prints	Medium	Image Size	Years of Execution	Value	For Sale/ Not for Sale
  1
  2
  3

• I wish to gift my work for the Akademi's Collection (Tick one):   Yes.          No.  
• PLEASE MENTION CLEARLY THROUGH WHAT MEANS YOU HAVE SUBMITTED THE ENTRY FEE.
• For obtaining a copy of this Schedule Form please log on to : www.lalitkala.gov.in The artist may use the photocopy of this Schedule Form.

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(All checkbox should be Mandatory*)


• I would like to participate in the Lalit Kala Akademi's 3rd Print Biennale India - 2022. I am sending the following Print for consideration. I accept the rules and regulations prescribed in the prospectus for the Biennale.
• I hereby declare that the submitted prints have not been awarded or exhibited in any national or international exhibition held anywhere in the world.

Date: