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John Simon Guggenheim Memorial Foundation

90 Park Avenue New York, N.Y. 10016 http://www.gf.org

Applications and accompanying documents from citizens and permanent residents of the United States and Canada should reach the office of the Foundation not later than October 1; from citizens and permanent residents of Latin America and Caribbean, not later than December 1.

PLEASE TYPE OR PRINT.
SEND THIS FORM AND ACCOMPANYING MATERIAL BY POSTAL MAIL. DO NOT SEND IT BY FAX OR EMAIL. 

Last name  Davidovich
First  Jaime
Middle - 
Preferred mailing address 67 East 11 ST AP 219 New York NY
Zip Code 10003
Telephone 212-375-8634

Home address (if other than above)
Zip Code
Telephone
FAX number and Email address JDAVID9293@aol.com

Title of present position (include name of institution, if any)

The specific field of scholarship or art in which your proposal lies  Video Art

The title of your project  Rewind and Stop

The inclusive dates of the period for which you are requesting a Fellowship  2006

Place of birth Buenos Aires
Date of birth 9/29/36
Sex M
Citizenship YES

If not a native-born citizen, give date and place of naturalization: Ohio, 1967

Name and address of spouse or nearest kin Nina Litvak 1121 Swall Drive Los Angeles, California 90035

[[4 Columned Table]]

| Educational Summary | Name of Institution | Period of Study (inclusive dates) | Degrees, Diplomas, Certificates (with dates) |

| --- | --- | --- | --- |

| Academic: Undergraduate | National College  | 1954-1958 | 1958 | 
| Academic: Graduate | University of Uruguay | 1959-1961 |  | 
| Academic: Other: (Artistic, Musical, etc., where pertinent) | School of Visual Arts New York | 1963 |  | 

Transcription Notes:
Spacing! His name is Jaime not Jamie. Type what is there!