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
born after JAN 1, 2002 & before DEC 31, 2017
MaleFemalePrefer not to sayOther
In schoolGraduateno Education ExperienceOther
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
Cancelof
Personal Information& Contest Materials Authorization Agreement
I ( Contestant / Legal Guardian of minor contestant ), hereby confirm that all information in this application is true and complete. I have fully read, unconditionally agreed to all terms of the aforementioned agreement, and granted the full required authorization. I formally apply for participation in the 12th DIMF MusicalStar.
Online mediaSchool noticeInstitution posterOfficial websiteRecommendation by a friendOther
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