亚洲弦乐大赛
北京地区选拔申请表(Application Form)
说明: 请以正楷清楚、完整地填写此表。并确定所填数据正确无误。
重要: 在填写此表格前,请务必详细阅读比赛章程,并留意各组别所需之曲目和年龄限制,对规定有充分了解,以免误填或曲目准备有误。若有任何疑问,请向主办单位询问。
Last Name姓: First Name名: |
Photo 近照 |
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Date of Birth:(DDMMYYYY)出生日期(日月年) |
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Passport/Identification Card Number护照或身份证号码 |
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Nationality 国籍 |
Age 年龄 |
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Name of
Conservatory/University/Music School/Occupation: 所在的音乐院校或目前的职业: |
Instrument 乐器 |
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Address 地址: |
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Email 邮件: |
Tel. 联系电话: |
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Guardian/Parent Name: (For
Applicant Aged 18 and Guardian/Parent Mobile: below) 家长或监护人联络电话 (年龄在18 岁以下的参赛者请填写家长或/监护人姓名): Name姓名: Tel.电话: |
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Category 组别 (可多选) |
☐Professional/专业组 |
☐Young Children幼儿组 ☐Children(A)儿童组(A) ☐Children(B)儿童组(B) ☐Junior 少年组 ☐Teenager 青少年组 ☐Young Adult 青年组 |
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☐Amateur/表演组 |
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☐Asia Works/亚洲作品组 |
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☐Duet/二重奏组 |
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Preliminary Repertoire (please refer to the example below before fill in)
初选曲目(请按照范例格式填写) e. g.(范例) 1. 巴赫无伴奏第一奏鸣曲柔板 3’15’’ 2. 新疆之春 4’30’’ 1. 2. |
Timing 时长 |
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注:请登陆北京少儿小提琴学会网站http://www.bjvl.net 或www.brightonfield.net 查看详情。/报名时间:2013年6月5、6、7日(周三四五)9:00-11:30, 13:00-16:00/地点:北京市东城区少年 /邮件咨询:brighton.bj@gmail.com 电话咨询:18210600699(18:00-22:00)
APPLICANT
AGREEMENT/同意书
I declare that the information given in this application is complete and truthful. If accepted as a competitor, I shall abide by all the terms and conditions of conditions of the Competition as set out in the attached brochure. The Competition Committee shall determine competition matters not covered by these rules or the written procedures on judging.
本人在此声明以上数据均为完整属实,符合并同意"亚洲弦乐大赛2013"比赛简章所有条规。本人在此确认"亚洲弦乐大赛2013"组委会拥有本人演出录像/录音的发表出版权。
SIGNATURE OF APPLICANT 参赛者签名:
SIGNATURE OF GUARDIAN/PARENT (For applicant below aged 18) 家长/监护人签名(18岁以下参赛者):
IMPORTANT: You must enclose the following documents with your application:
1) A clear copy of a proof of age document (passport or other legal document.)
2) A passport portrait style to be used in the competition program. Print your name and
Category on the back of the photo.
重要: 此参赛表格必须附上:
1.护照/身份证影印本
2.个人近照。请将参赛者姓名和参加组别填写在照片后方。