Full name of the artist Alias (if available) Address Email Contact number Prospective venue La GalerieGalerie Zoom Tentative dates Title of the exhibition in English Title of the exhibition in Bengali (if applicable) Descriptions of the artworks [fieldset artworks id="artworks-groups" tabindex:1] Title Medium Width in cm Height in cm Digital photographs or scanned images of Artworks N.B. For mutliple artwork use "," for title, medium , width and height and uplaod file in zip. [/fieldset] To be attached with this form Portfolio containing bio data and experience of the artist I, the undersigned, declare that the information given in this application is complete and accurate. I agree to abide by the rules and regulations of Alliance Francaise de Dhaka and under provision of art. 7 of the constitution of Alliance Francaise de Dhaka to conduct myself in a sociable manner.