IBCF3 REGISTRATION FORM

1
Email* This field is required.
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2
FULL NAME* This field is required.NAMA LENGKAP
Mr.
Mr.
Mrs.
Ms.
Prefix
CAPITAL LETTERS/HURUF KAPITAL
3
Birth Date* This field is required.Tanggal Lahir
Day
Month
Year
4
Mobile Number* This field is required.Nomor Handphone
5
Full Address* This field is required.Alamat Lengkap
Street Address
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Indonesia
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Other
Country
6
ACTIVITY CATEGORY
CHOIRSOLO SINGING
7
FULL NAME* This field is required.NAMA LENGKAP
Mr.
Mr.
Mrs.
Ms.
Prefix
CAPITAL LETTERS/HURUF KAPITAL
8
Birth Date* This field is required.Tanggal Lahir
Day
Month
Year
9
Mobile Number* This field is required.Nomor Handphone
10
Full Address* This field is required.Alamat Lengkap
Street Address
Districts/Kecamatan
City/Kota
State/Province/Provinsi
Zip Code / Kode Pos
Indonesia
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
SOLO CATEGORYKATEGORI SOLO
Please Select
Please Select
Children
Youth
Adult
Classical Music
Sacred Music
Popular Music
Seriosa Indonesia
12
Choir Name* This field is required.Nama Paduan Suara
13
Year FoundedTahun Berdiri
14
BiographyBiografi
Huge
Large
Normal
Small
Ok
Ok
15
Number of Choir MembersJumlah Anggota Paduan Suara
Singers/Penyanyi
Conductor/Konduktor
Musician/Pemusik
Official/Pendamping
16
Total of Choir Members
17
Full Address* This field is required.Alamat Lengkap
Street Address
Districts/Kecamatan
City/Kota
State/Province/Provinsi
Zip Code / Kode Pos
Indonesia
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
18
Photo of GroupFoto Grup
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Min. file size0.5MB, Max. file size: 2.8MB
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19
Choir CategoryKategori Paduan Suara
CHORAL COMPETITION
NON-COMPETITION
20
Image Field
21
Choral Competition CategoryKategori Paduan Suara Kompetisi
A01. Children's Choir
A02. Teenager's Choir
A03. Youth Choir
A04. Mixed Choir
A05. Senior Choir
A06. Equal Choir
B01. Musica Sacra
B02. Pop & Jazz
B03. Folksong
B04. Vocal Group
22
FULL NAME* This field is required.NAMA LENGKAP
Mr.
Mr.
Mrs.
Ms.
Prefix
CAPITAL LETTERS/HURUF KAPITAL
23
Birth Date* This field is required.Tanggal Lahir
Day
Month
Year
24
Mobile Number* This field is required.Nomor Handphone
25
PhotoFoto
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Min. file size0.5MB, Max. file size: 2.8MB
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26
Song TitleJudul Lagu
27
Composer/arrangerKomposer/aransemen
28
Sheet MusicPartitur
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29
Music LicenseLisensi Musik
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30
Song Title 2Judul Lagu
31
Composer/arranger 2Komposer/aransemen
32
Sheet Music 2Partitur
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33
Music License 2Lisensi Musik
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34
Song Title 3 (Grand Prix)Judul Lagu
35
Composer/arranger Komposer/aransemen
36
Sheet MusicPartitur
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37
Music LicenseLisensi Musik
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38
Size GuidePanduan Size
39
Number of T-ShirtsJumlah T-Shirt (3XL next slide)
XXXS
XXS
XS
S
M
L
XL
2XL
40
Number of T-ShirtsJumlah T-Shirt
3XL
41
Total T-ShirtsTotal mengacu pada jumlah tiap size yang diisi pada kolom size
42
Payment ReceiptBukti Pembayaran
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43
Account HolderPemilik Rekening
44
Name of BankNama Bank
45
Total PaymentTotal Pembayaran
46
Date of PaymentTanggal Pembayaran
Date
Day
Month
Year
47
Letter of Consent* This field is required.ENGLISH By filling this form of registration for 3rd International Bandung Choral Festival 2023, I give my consent to Tommyanto Kandisaputra and Bandung Choral Society to use our information from me/us for 3rd International Bandung Choral Festival 2023 without expectation of commission or other remuneration, now or in the future. This consent includes : 1. Permission to publish my choir on social media(s), for 3rd International Bandung Choral Festival 2023 purposes. 2. Permission to use the choir’s name as well as images of the choir for non-commercial purposes. This consent is given in perpetuity and does not require prior permission from me. INDONESIA Surat Persetujuan Untuk Penerbitan Lewat surat ini saya / kami memberikan persetujuan kepada Tommyanto Kandisaputra dan Bandung Choral Society untuk menggunakan informasi paduan suara dari saya / kami untuk 3rd International Bandung Choral Festival 2023 tanpa mengharapkan komisi atau kompensasi, Persetujuan ini meliputi : 1. Izin untuk mempublikasikan paduan suara saya / kami di media sosial, untuk keperluan 3rd International Bandung Choral Festival 2023. 2. Izin untuk menggunakan nama paduan suara serta gambar paduan suara untuk tujuan non-komersial. Persetujuan ini diberikan sepenuhnya tanpa batasan waktu dan tidak memerlukan izin lagi dari saya / kami.
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