The 4th Japan-Hong Kong International Music Competition

The 4th Japan-Hong Kong International Music Competition

THE FOURTH
JAPAN HONG KONG
INTERNATIONAL
MUSIC COMPETITION
Young Artist
Japan Hong Kong Musicians Alliance
Room 1104, Crawford House
70 Queen's Road Central
Central, Hong Kong
Hong Kong SAR
Tel : +852 2961 4276
Application Form for entry to The 4th Japan-Hong Kong International Music Competition
1a. Participant's Name / Nationatlity / Date of Birth / Sex
(in Alphabet)
Name* :
(in Chinese/ Japanese)
<Place your photo>
Write your Name/
Date of Birth
on the back
Nationality* :
(Month/Date/Year)
Date of Birth*:
Age* :
Sex* :
Male
Female
1b. Participant's Address / Phone Number / Email
Address* :
+
Phone No* :
-
+
Mobile No :
-
Email* :
2. Participant's Background Information
Name of School* :
Grade / Year * :
Name of Music Instructor* :
Instructor's Contact Address* :
Phone No* :
+
-
3. Competition Entry Information (In case of "Multiple entry", please fill out separate form for each entry.)
Section* :
Piano
Multiple Entry :
Fee* (HK$) :
Violin
Other Class
$400
$500
Flute
Class* :
Junior A
Junior B
Intermediate
Advanced
Professional Category (Check box if applying)
$700
$900
Repertoire* : (Max. two pieces)
Date :
7/11
7/12
7/19
7/18
( 7/11, 7/12 : Piano 7/18, 7/19 : Violin/ Flute )
1.
Composer :
2.
Composer :
Duration :
Duration :
OFFICE USE ONLY
4. Signature* :
Applicant No :
Single
Group
Payment :
Signature of Participant (or Guardian)
Date
*Required information field is indicated by * mark.
*Application Form will not be accepted if any of the above required information is missing.
Y
N
Check No :
Method :
Check
Bank