Artist Registration

Registration

Email*

First Name

Last Name

Store Name*

https://unitedculturalforum.com/store/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Mobile No.*

photo (Passport Size)*

Father / husband name:*

Marital status :*

Date of birth*

Age*

Sex*

Educational / fine arts Qualification:*

Experience in the field of visual art*

Please provide a short biography*

facebook link |twitter|Instagram -any social website links*

Your Website*

Details of awards, recognitions received at the State/National level*

Which Category are you applying for?*

Please Select the Category of Artwork you are Applying For:*

Declaration: To the best of my knowledge, all the information I have provided is accurate, and I confirm that I am the rightful owner of these images. If any discrepancies are found, I am prepared to accept any actions taken by the authorities.*

Password*

Confirm Password*

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