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Please read the application form carefully before completing and signing
You are applying to be considered as a contestant in a programme which PRIMAL MEDIA intends to
produce for initial transmission by the BBC (the “Broadcaster”).
Please fill out the application form legibly, using black ink if posting or clear black font if sending in
electronically. If you run out of space answering any questions, please use the back of the form and
reference the question(s) accordingly.
Deadline for applications is FRIDAY 23rd DECEMBER 2016 but we reserve the right to extend the
closing date and time at our sole discretion.
You must fill out the entire application form. Please do not leave any question unanswered. If any
question is not applicable to you, write N/A in the space provided.
Please complete the application form, attach a recent photograph of yourself and return by e-mail to:
bbcquiz@primalmedia.co.uk or post to: BBC Quiz APPLICATIONS, Primal Media, 40 Great
Portland Street, London W1W 7LZ
We will be calling and inviting successful applicants for an audition but please do not contact us for
any feedback. If you do not hear from us, you have not been successful this time.
If you are successful, unfortunately we cannot cover any expenses involved in getting to auditions
Many thanks for applying to be on the show.
1. You must be aged at least 18 (eighteen) years of age due to the chance for contestants to win a
cash prize.
3. You must not be currently employed by us or any of our group of companies, affiliates,
subsidiaries, agencies or persons professionally associated with the Programme and/or the
Broadcaster and/or the provider of the Prize, or be sufficiently connected with the Programme (for
example a live-in partner or immediate relative of an employee of ours or the Broadcaster) such
that your participation in the Programme could create the appearance of impropriety, unless
otherwise approved by us.
PERSONAL INFORMATION
We endeavour to
have as diverse a
range of
contestants
appearing on the
Programme as
possible, including
contestants of
varying ages.
Address:
Home Tel:
Mob:
E-mail:
We require this
information in
order to ensure
that we meet our
duty of care
including the
provision of
suitable access to
audition and
studio venues
Have you ever been
convicted of a crime
or are you the
subject of ongoing
criminal
proceedings? If yes,
please give details.
Do you have any PLEASE NOTE: That if you progress further in the application process, we
County Court reserve the right to carry out background checks on you to verify the
Judgments against above information. Furthermore, disclosure of criminal convictions,
you? If yes, please current criminal proceedings and/or county court judgments may not
give details. automatically exclude you from participating and we shall be entitled to
exercise our discretion on this point but in all cases our decision shall be
final.
If any, what
qualifications do you
hold (educational,
academic, vocational
professional etc.)?
ABOUT YOURSELF
If you have answered “yes”, please give details above (including without limitation
all television appearances whether completed and pending (as applicable) of the
name of the show(s), nature of your participation, recording date, broadcast date,
channel, any prizes won and any other information as you see fit)
AUDITIONS
DATA RETENTION
We would like to keep the YES, I WOULD LIKE THE DATA SUPPLIED ON THIS APPLICATION FORM TO BE RETAINED SO AS TO BE
information you provide CONSIDERED FOR ANY POSSIBLE FUTURE SERIES OF THE PROGRAMME OR OTHER SIMILAR
in this application form for PROGRAMMES [ ]
future related use when,
for example, producing a NO, I DO NOT WANT THE DATA SUPPLIED ON THIS APPLICATION FORM TO BE CONSIDERED FOR ANY
further series of the POSSIBLE FUTURE SERIES OF THE PROGRAMME OR OTHER SIMILAR PROGRAMMES [ ]
Programme or other
similar programmes. We
would like to keep the
information for two years.
If you do not consent to
this it will not influence
our decision in the
selection process for this
Programme. Please tick
the appropriate box to
indicate your preference
d. We and our subcontractors do not accept any j. You warrant that you have never been part of or
responsibility whatsoever for any technical failure or contributed to a media story that may bring us, the
malfunction or any other problem with any computer Broadcaster or the Programme into disrepute and further
network, system, server, provider, telephony system or warrant that you will not withhold information from us of
otherwise or any postal service failures which may result any material fact (including but not limited to existing
in any application not being properly received. medical conditions) that may in our reasonable opinion
jeopardise or otherwise impact on the Programme or
e. You agree that any application forms which are which might result in publicity adverse to our good name,
incomplete, and incomprehensible, incorrectly addressed, the Broadcaster or the Programme. You agree that
should you have anything in your history that would
f. lost in transit, or with insufficient postage, or not make for negative press or publicity you agree to make
received by us at the relevant postal, email address or us aware of it in order to protect your public interest and
fax number (all as is applicable) may not be considered. our reputation and that of the Broadcaster.
g. You accept that we will not acknowledge or respond to k. Should you be selected to take part in the Programme
each application but only to those of successful you agree and undertake to enter into further contracts
applicants. We shall decide at our sole discretion which with us including without limitation: Release Forms, a
application is suitable to be put forward to the next stage Contestant Agreement, a Health Statement, a
of the selection process. Confidentiality Agreement and any rules of the
Programme and you agree to abide by the terms therein.
h. You accept that receiving an application form and/or a
phone call from a staff member of the Programme l. You agree to notify us of any changes to the
production team and/or attending an audition DOES NOT circumstances and/or information and/or data provided in
automatically mean that you will be appearing on the this application form during your continued participation
Programme and we reserve the right at our sole in the Programme selection process.
discretion at any time to stand you down, even if you
have been given a date to attend auditions. m. You agree to indemnify us and our successors in title,
assigns and licensees against any and all claims, costs,
i. We do not represent, undertake or warrant that we will actions, losses and/or damages suffered directly or
produce or broadcast any episode of the Programme indirectly by us as a result of the breach, non-
which may or may not include an applicant’s performance or non-observance by you of any of your
participation. obligations, warranties, undertakings and representations
under this Agreement.
2. YOUR OBLIGATIONS
n. You shall keep confidential and shall not disclose to any
a. You agree to abide by the rules and regulations of the third party any confidential information, photographs or
Programme as shall be notified to you in writing or other material relating to us or the Programme or anyone
verbally which you accept may be varied from time to taking part in it which comes to your knowledge as result
time by us and you further accept that our decision is of your participation in the Programme. The foregoing will
final. not include matters already in the public domain (other
than by way of your breach of this Clause).
b. You agree to attend any auditioning processes, heats and
any promotional activities relating to the Programme if 3. INTELLECTUAL PROPERTY RIGHTS
required by us on any dates as notified to you.
a. In the event that you are invited to attend an audition
c. If applicable to the Programme, you agree to undertake a and any other subsequent stages of the Programme
medical and/or psychological assessment, conducted by a selection process you agree and consent to the filming
certified practitioner, if so required by us. and recording of your voice, conversation and sounds,
including any performance of any musical composition(s),
d. You warrant that you comply with each of the Eligibility during and in connection with your application for the
Requirements above and if required by us, you agree to Programme at our discretion (the “Contribution”) and to
provide us with documentary evidence as well as the use of your Contribution in the Programme in whole
providing all consents and assistance in carrying out any or in part or not at all. You irrevocably grant and assign
police background searches if so required by us to us any and all copyright and other rights, title and
substantiate the information provided in this application interest in your Contribution so as to permit the fullest
form. use throughout the world of the Contribution or any
part(s) thereof by all means and in all media in
e. You warrant that nothing in this application will infringe connection with the Programme or otherwise in
the copyright or any other right of any third party or perpetuity. For purposes of clarity, you accept that we
breach any contract or duty of confidence, constitute a have the right to edit, copy, adapt or translate the
contempt of court or expose us to any civil or criminal Contribution as we see fit and you irrevocably waive the
proceedings or be defamatory or blasphemous and/or benefits of and agree not to assert any provision of law
otherwise intended to bring us or any other party into known as "moral rights" or any similar laws of any
disrepute. jurisdiction.
f. You hereby warrant that you have truthfully and b. You further agree to the photographic and video
accurately completed this application form and material(s) and any other materials you have submitted
acknowledge and agree that we may in our sole (collectively referred to as the “Submission”) as part of
discretion disqualify you from any stage of the your application to the Programme and/or your
Programme auditioning and selection process or the Contribution to be featured in the Programme and you
Programme itself at any stage if you supply or have warrant that you have the necessary licences, rights,
consents and permissions to authorise us to use the The information you provide about yourself to us will be
Submission in full or in part. You hereby grant us a used to assess whether or not to select you for the
worldwide, perpetual, royalty free and transferable Programme. We may share your information with the
licence (with the right to sub-license) to use, edit, Broadcaster as part of the selection process and if you
reproduce, record, modify, translate, distribute, play, are selected as a contestant you agree that this
perform, make available to others, prepare derivative information and data may be used in connection with the
works of and to display the Submission by any medium production and promotion of the Programme. You
or method whether now known or later developed to be further accept that that we may pass on your personal
exercised in our sole discretion throughout the world for information to a regulator or governmental authority
the full term of copyright and other rights and all including without limitation the Information
renewals and extensions thereof and you irrevocably Commissioner and/or OFCOM should it be requested of
waive the benefits of and agree not to assert any us.
provision of law known as "moral rights" or any similar
laws of any jurisdiction. You agree to provide us with b. You agree and accept that we may use the information
details of all such licences, rights, consents and you have provided in this application form to verify your
permissions if we so request. age and identity and to carry out background checks with
law enforcement and government agencies.
c. For the avoidance of doubt, you agree that we have no
obligation whatsoever to return any materials (including c. Appropriate technical and organisational measures will be
without limitation, the Submission) which you have taken to ensure that the personal data you provide to us
submitted as part of this application whether or not you will be processed and stored securely. Save as otherwise
are selected as a participant and that we are in no way stated, no data you provide to us will be passed to any
obligated to use any such materials in connection with third parties, with the exception of freelance and contract
the Programme. staff working as part of the Programme production team
where necessary.
d. You hereby grant us the right to use your name, voice,
likeness, photographs and any biographical material d. If you do not consent to the future use of your
concerning you in connection with the promotion and information your application form will be securely
exploitation of the Programme and/or ancillary destroyed once the selection process has been
products/services and/or in connection with us and/or the completed.
Broadcaster, throughout the world in all media in
perpetuity. 5. MISCELLANEOUS
4. DATA PROTECTION You agree that we may freely assign or license any or all of
our rights and obligations under this Agreement and this
a. We shall comply with our obligations under the Data Agreement shall be governed by and construed in accordance
Protection Act 1998 to the extent that we are required to with the laws of England and Wales, and the English courts
collect and process the information supplied on this form. shall have exclusive jurisdiction.
(i) you have read, meet and agree to be bound by each of the Eligibility Requirements;
(ii) you have answered all the questions in this application form honestly and truthfully; and
(iii) you have read, understood and agree to the Terms and Conditions.
IF YOU ARE RETURNING THIS FORM BY E-MAIL THEN BY PRINTING YOUR NAME YOU ARE AGREEING
TO THE ABOVE TERMS AND IF YOU ARE ASKED TO ATTEND AN AUDITION WE WILL ASK YOU TO
SIGN AND RE-DATE THIS FORM IN PERSON.
Print Name:
Date:
Remember, please complete this form and send it back to us with a recent photograph of
yourself/each of your teammates, via one of the following methods:
Email to: bbcquiz@primalmedia.co.ukor post to: BBC Quiz Application, Primal Media, 40
Great Portland Street, London W1W 7LZ
Deadline for applications is: FRIDAY 23rd DECEMBER 2016 but we reserve the right to
extend the closing date and time at our sole discretion.
Many thanks for your time and interest in applying to be on the show, and GOOD LUCK!
Primal Media.