Pahiyas Museum and Art Gallery

Name *

First

Middle

Last

First Name, MI, Surname

Present Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Birth Date

Birth Place *

CP Number *

Alternate CP Number

Email *

Educational Attainment *

high school, 2nd year, course, etc.

Affiliation

Membership in an organization

Exhibits

Name of exhibition/s you participated in

Short Biography / Artist's Description *

Tell something about yourself, interests, passion, etc. 200 words max.

Portfolio Website / URL

Link to your online portfolio (i.e. https://facebook.com/myportfolio)

Profile Photo *

Click or drag a file to this area to upload.

Upload the best photo of yourself in jpg or jpeg format (minimum 1200 pixels, 300dpi)

Photo of Your Best Artworks *

Click or drag files to this area to upload.You can upload up to 3 files.

Upload at least 3 photos of your best artworks in jpg or jpeg format. (minimum 1200 pixels on its shortest side, 300dpi, no background)

Acknowledgement *

I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.