Application Form 2nd IICC 2015

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  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    Fill in the form with capital letter and put tick ( ) in the box.

    CHOIR

    CHOIR NAME

    ADDRESS

    CITY COUNTRY

    TELEPHONE FAX

    E-MAIL WEBSITE

    CONTACT PERSON

    NAME

    ADDRESS

    TELEPHONE (PHONE NUMBER) E-MAIL

    Note: Anything related to registration will be informed to the Contact Person through the number and e-mail written above.

    CATEGORIES

    MIXED YOUTH CHOIRS (I)

    ADULT CHOIRS HISTORICAL (II)

    ADULT CHOIRS FREE (III)

    FOLKSONG CHOIRS (V)

    I hereby declare that the information written in this form is true.

    DATE MONTH YEAR

    - - 2 0 1 4

    Signature

    NAME POSITION

    CONTEMPORARY A CAPPELLA PERFORMANCE (IV)

    B-1

  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    CATEGORY: MIXED YOUTH CHOIRS (I)

    CHOIR

    CHOIR NAME

    CONDUCTOR I CONDUCTOR II (IF NECESSARY)

    CONDUCTOR / ARTISTIC DIRECTOR

    NAME

    ADDRESS

    TELEPHONE (PHONE NUMBER) E-MAIL

    ORDER OF PERFORMANCE AUDIO RECORDING

    No. Title Composer/ Arranger Date of Audio

    recording Duration

    1. 2.

    ORDER OF PERFORMANCE - COMPETITION

    No. Title Composer Composers

    Country of Origin Duration Instrument

    1.

    2.

    3.

    NUMBER OF PARTICIPANTS

    Soprano

    Alto

    Tenor

    Bass

    I hereby declare that the information written in this form is true. DATE MONTH

    - - 2014

    Signature

    NAME

    Conductor / Artistic Director

    B-2 (I)

  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    CATEGORY: ADULT CHOIRS - HISTORICAL (II)

    CHOIR

    CHOIR NAME

    CONDUCTOR I CONDUCTOR II (IF NECESSARY)

    CONDUCTOR / ARTISTIC DIRECTOR

    NAME

    ADDRESS

    TELEPHONE (PHONE NUMBER) E-MAIL

    ORDER OF PERFORMANCE AUDIO RECORDING

    No. Title Composer/ Arranger Date of Audio

    recording Duration

    1. 2.

    ORDER OF PERFORMANCE - COMPETITION

    No. Title Composer Composers Date

    of Birth Duration Instrument

    1.

    2.

    3.

    NUMBER OF PARTICIPANTS

    Soprano

    Alto

    Tenor

    Bass

    I hereby declare that the information written in this form is true. DATE MONTH

    - - 2014

    Signature

    NAME

    Conductor / Artistic Director

    B-2 (II)

  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    CATEGORY: ADULT CHOIRS FREE (III)

    CHOIR

    CHOIR NAME

    CONDUCTOR I CONDUCTOR II (IF NECESSARY)

    CONDUCTOR / ARTISTIC DIRECTOR

    NAME

    ADDRESS

    TELEPHONE (PHONE NUMBER) E-MAIL

    ORDER OF PERFORMANCE AUDIO RECORDING

    No. Title Composer/ Arranger Date of Audio

    recording Duration

    1. 2.

    ORDER OF PERFORMANCE COMPETITION

    No. Title Composer Duration Instrument

    1.

    2.

    3.

    NUMBER OF PARTICIPANTS

    Soprano

    Alto

    Tenor

    Bass

    I hereby declare that the information written in this form is true. DATE MONTH

    - - 2014

    Signature

    NAME

    Conductor / Artistic Director

    B-2 (III)

  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    CATEGORY: CONTEMPORARY A CAPPELLA PERFORMANCE (IV)

    PADUAN SUARA

    CHOIR NAME

    CONDUCTOR I CONDUCTOR II (IF NECESSARY)

    CONDUCTOR / ARTISTIC DIRECTOR

    NAME

    ADDRESS

    TELEPHONE (PHONE NUMBER) E-MAIL

    ORDER OF PERFORMANCE AUDIO RECORDING

    No. Title Composer/ Arranger Date of Audio

    recording Duration

    1. 2.

    ORDER OF PERFORMANCE - COMPETITION

    No. Title** Arranger Duration Instrument

    1.

    2.

    3.

    4.

    5.

    **) If your song is a medley, please write down every song included in it.

    NUMBER OF PARTICIPANTS

    PARTICIPANTS:

    I hereby declare that the information written in this form is true. DATE MONTH

    - - 2014

    Signature

    NAME

    Conductor / Artistic Director

    B-2 (IV)

  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    CATEGORY: FOLKSONG CHOIRS (V)

    CHOIR

    CHOIR NAME

    CONDUCTOR I CONDUCTOR II (IF NECESSARY)

    CONDUCTOR / ARTISTIC DIRECTOR

    NAME

    ADDRESS

    TELEPHONE (PHONE NUMBER) E-MAIL

    ORDER OF PERFORMANCE AUDIO RECORDING

    No. Title Composer/ Arranger Date of Audio

    recording Duration

    1. 2.

    ORDER OF PERFORMANCE - COMPETITION

    No. Title Arranger Origin of the

    Folksong Duration Instrument

    1.

    2.

    3.

    NUMBER OF PARTICIPANTS

    Soprano

    Alto

    Tenor

    Bass

    I hereby declare that the information written in this form is true. DATE MONTH

    - - 2014

    Signature

    NAME

    Conductor / Artistic Director

    B-2 (V)

  • 2nd ITB International Choir Competition 2015

    APPLICATION FORM

    Reg No : (filled in by the committee)

    Date :

    DOCUMENT

    Give tick ( ) in the box if the documents are complete.

    Document Details*

    B-1 form

    B-2 form (for each category)

    A photograph of all members of the choir and conductor

    Profile of the choir and conductor

    Letter of statement regarding authenticity of the audio recording and date of recording

    Proof of payment (registration fee and participation fee)

    Audio recording *) filled in by the committee

    Application form and other documents required must be printed, filled in completely, scanned, and sent via email

    the latest at June 27th 2014 to:

    E-MAIL : [email protected]

    Subject : IICC_Registration_Choir Name

    (example: IICC_Registration_ITB Student Choir)

    All documents must be sent in one document (compressed in a .RAR or .ZIP format)

    Further information could be accessed through

    WEBSITE : http://www.fps-itb.com

    B-3