2017 PINOY K-POP STAR

Application Form

PARTICIPANT’S NAME: (If a group, put the leader’s name.)

LAST : FIRST : M.I.:

IF A GROUP, NAME OF THE GROUP:

Photo
CATEGORY:
☐ VOCAL COMPETITION ☐ PERFORMANCE COMPETITION
Open to singers (Solo, Duo, Group) + Open to singing AND dancing groups
maximum of 2 backup dancers w/ the same member composition as
the group they’re covering
PERSONAL DETAILS: (If a group, put the leader’s details.)
Address:

Age: Age and Birth Date:

Civil Status: Citizenship:

Sex: ☐M ☐ F Contact no.

Email address: Occupation & Company / Course & University:

GROUP MEMBERS: (Kindly disregard if solo applicant; Use a separate sheet if the space is not enough)
NAME AGE + BIRTH DATE SEX CONTACT NO.

PERFORMANCE DETAILS
SONG TITLE:

SINGER:

YOUTUBE LINK:

ADDITIONAL REQUIREMENTS
☐ Attach copy of valid ID or passport

I certify that the aforementioned information and the submitted entry for the competition are true and
originally accomplished by the undersigned.

______________________________________ ______________________________________
Signature over printed name Date Completed