THE BIG SHOT

CONTESTANT APPLICATION FORM

PARTICULARS

Full Name __________________________________ Age__________ (As at 11 OCT 2010) Sex (M / F)*

NRIC/Passport No. ________________________________ Nationality _____________________________

Address __________________________________________________________________________________

_______________________________________________________________SINGAPORE ( )

Date of Birth _____________________________ Race _______________________________________

Contact No. ____________________(HOME)___________________(MOBILE)_________________(OFFICE)

E-MAIL ____________________________________________________________________________________

Occupation ____________ ____________________________________________________________________

*delete accordingly

Please attach a recent photo of yourself in JPG format, under 1MB.

PORTFOLIO

Please attach 3 samples of your work (JPG format, less than 1MB each) and tell us about them.

Photograph 1, Title ___________________________________________________________________________

Statement: _________________________________________________________________________________

__________________________________________________________________________________________

Photograph 2, Title ___________________________________________________________________________

Statement: _________________________________________________________________________________

__________________________________________________________________________________________

Photograph 3, Title ___________________________________________________________________________

Statement: _________________________________________________________________________________

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__________________________________________________________________________________________

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OTHER INFORMATION
Please list any websites (including social networking sites e.g. facebook, flickr, wordpress) that you have and
1. if samples of your photography work can be seen on any website
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What got you started and what drives you to keep pursuing photography?
2.
____________________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________________
What obstacles have you had to overcome while pursuing photography?
3.
____________________________________________________________________________________

______________________________________________________________________________

____________________________________________________________________________________

Have you been through photography training of any kind?

4.
____________________________________________________________________________________

______________________________________________________________________________

____________________________________________________________________________________

Which photographer inspires you? And why?

5.
____________________________________________________________________________________

______________________________________________________________________________

____________________________________________________________________________________

What camera are you currently using? What is your dream camera? What additional gear do you like using?
6. ____________________________________________________________________________________

______________________________________________________________________________
____________________________________________________________________________________
List all the TV contests, game shows or reality shows for which you have applied to be or appeared as a
7. contestant.
____________________________________________________________________________________

______________________________________________________________________________

Do you have any existing medical conditions or previous injuries?

8.

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  YES

 NO
If YES, please provide details of your medical conditions and/or previous injuries:

_________________________________________________________________________________

____________________________________________________________________________________

Have you ever been convicted of any criminal offences?

9.
 YES

 NO
If YES, please provide details of your convictions and the nature of the offences:

____________________________________________________________________________________

____________________________________________________________________________________

10. Have you ever had or has anyone tried to obtain a restraining order against you or/and is there any pending
litigation against you?

 YES

 NO
If YES, please give details, including, without limitation, date(s), place(s), name of party seeking the
restraining order and relationship of such party to you, etc.

____________________________________________________________________________________

______________________________________________________________________________

11. Have you ever been the subject of disciplinary proceedings/ actions in school, in National Service, at work or
in any other context?

 YES

 NO
If YES, describe in detail, including, without limitation, date(s), place(s), the setting, the exact nature of the
charges and proceedings, and the actions taken in connection with the charges and/or proceedings.

____________________________________________________________________________________

____________________________________________________________________________________

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DECLARATION BY APPLICANT

I, (Name: _________________________,*NRIC/Passport No.:_________________) hereby confirm

and declare that:

1. All information given in this Application Form is true and correct. I understand that should there be
any changes to the information provided, I shall inform the Producers immediately.

2. I have read, understood and agree to abide and be bound by the “THE BIG SHOT” Application
Terms and Conditions (as set out on the “THE BIG SHOT” website) and the Program Rules
prescribed by the Producers from time to time.

________________________________ ___________________________
Signature Date

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