【Entry Sheet】The 22nd Kanagawa Biennial World Children’s Art Exhibition

Please fill in the form IN BLOCK LETTERS IN ENGLISH and print out .
The Entry Sheet should be enclosed together with the picture(s).

11/17/2022

Group applicants organization(school, art institute...)

Please check the
corresponding item☑ ✘ Individual applicant

Name of organization
(school, art institute…)

Applicant Name Surote Suwannarat

(Required for individual
application only)

35/3 moo.4,Ladlumkaew,Ladlumkaew,Pathumthani
Address

Country Thailand Postal code 12140

Mr. ✘
Ms.
Parent's Name or Teacher /
Instructor Name
Sutira Sophonpaisankit
Tel +66-0-95-365-0208
Fax

E-mail① yuysophon@ymail.com ＠

E-mail② yuysophon@gmail.com ＠
Please write two addresses

Nomber of pictures. 1
Do you want to return ・Domestic entries will be returned on requested (shipping costs shall be paid by
Yes ✘
No
a non selected entries? applicants)・Overseas entries will not be returned as a rule.

Applicant list Please fill in even if you apply individually.

No. Name Age Gender Title of Picture

✘ M
1 Surote Suwannarat 8 The Best Room
F
M

SAM
F
M
F

PLE
M
F
M

Gro
F
M

app up
F
M

lica
F
M

nts
F
M
F
M
F
of