12th DIMF MusicalStar Sign up Form —

12th DIMF MusicalStar

Sign up Form —— Asia region
Detailed requirements from Official website：www.goldandjadestages.com
Nationality

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry you from
Legal Name

First NameLast Name
Preferred Name (If applicable)

First NameLast Name
Legal Name

First NameLast Name
Preferred Name (If applicable)

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearborn after JAN 1, 2002 & before DEC 31, 2017
Gender

Other
Education status

Other
Educational Background

School Name

Major

GradeState / Province

State
Phone Number

Country CodeArea CodePhone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Headshot Photo

Accepted file formats: JPG/JPEG/PNG, with a file size not exceeding 10 MB
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Personal Information& Contest Materials Authorization Agreement
Authenticity Commitment
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