REGISTRATION FORM

BALI INTERNATIONAL CHOIR FESTIVAL

Reference number  -
diisi oleh panitia / Filled by the committee

A. INFORMASI PADUAN SUARA / CHOIR INFORMATION

Nama Paduan Suara / Choir Full Name

Kota / City Provinsi / Province Negara / Country

Alamat web / WEB address Alamat E-mail / E-mail address Tahun berdiri / Year Founded

Alamat POS Lengkap / Complete POSTAL address

Prestasi terbaik pertama dalam 2 tahun terakhir / The Best Achievement in past 2 years
2017 September
Prestasi terbaik kedua dalam 2 tahun terakhir / 2nd Best Achievement in past 2 years
2017 September
Prestasi terbaik ketiga dalam 2 tahun terakhir / 3rd Best Achievement in past 2 years
2017 September

B. PERSON IN CHARGE
Nama Lengkap / Full Name Tanggal Lahir / Date of Birth

Kota / City Provinsi / Province Negara / Country

Alamat E-mail / E-mail address No Handphone / code + mobile number (1) No Handphone / code + mobile number (2)

C. DIRIGEN /CONDUCTOR (1)

Nama Lengkap / Full Name Tanggal Lahir / Date of Birth

Kota / City Provinsi / Province Negara / Country

Alamat E-mail / E-mail address No Handphone / code + mobile number (1) No Handphone / code + mobile number (2)

D. DIRIGEN /CONDUCTOR (2) jika ada, if any.

Nama Lengkap / Full Name Tanggal Lahir / Date of Birth

Kota / City Provinsi / Province Negara / Country

Alamat E-mail / E-mail address No Handphone / code + mobile number (1) No Handphone / code + mobile number (2)

Jl. H. Achsan no.37 – Mohamad Toha – Bandung, 40253 (West Java) – Indonesia Page 1 of 2
Phone & Fax +62.22.520.9724 | bicf@bandungchoral.com | www.bandungchoral.com
 REGISTRATION FORM
BALI INTERNATIONAL CHOIR FESTIVAL
E. ACTIVITY / PROGRAM FOR 1st PERFORMANCE / CATEGORY.
Activity in: Category: Total Performance Time: 5 Minute
no song title composer / arranger born dead Instument Conductor’s Sign

1 NO
*signature
2 NO
3 NO conductor’s
full name
Kami akan membawa sendiri alat musik berikut ini: we will provide the following music instrument(s) by our self:

F. ACTIVITY / PROGRAM FOR 2nd PERFORMANCE / CATEGORY.

Activity in: Category: Total Performance Time: 5 Minute
no song title composer / arranger born dead Instument Conductor’s Sign

1 NO
*signature
2 NO
3 NO conductor’s
full name
Kami akan membawa sendiri alat musik berikut ini: we will provide the following music instrument(s) by our self:

G. EVENT PACKAGE
Penyanyi / Singers person Ukuran T-shit dalam cm, silahkan masukan jumlah ukuran yang sesuai
/ T-Shirt size in cm, please put the number of each size needed
Pemain Musik / Musicians person

Dirigen / Conductor person

Pendamping / Official person

Total T-Shirt harus sama dengan total orang
Total orang / Total Person 0 person = 0
/ Total T-Shirt should be the same number with total person)

I. Detail Kedatangan & kebarangkatan / Arrival & Departure Detail

Arrival Date : Flight Detail / others detail :

Departure Date : Flight Detail / others detail :

* Jadwal Stage Rehearsal / Uji Coba Panggung akan diprioritaskan kepada peserta yang sudah mengirimkan detail kedatangan diatas.
/ Stage Rehearsal Schedule will be prioritized to participants who have already submitted detailed above arrival.

I. PERSETUJUAN / AGREEMENT
Dengan ini kami menyatakan setuju pada seluruh peraturan BICF / We hereby declare that we agree with all the conditions BICF.
Lokasi Tanggal
/ Place / Date

Tanda tangan Manager Paduan Suara

/ Signature of Choir Manager.

* When using computer or gadget please mark ( ) in Signature box, for your official confirmation.
- end -

Jl. H. Achsan no.37 – Mohamad Toha – Bandung, 40253 (West Java) – Indonesia Page 2 of 2
Phone & Fax +62.22.520.9724 | bicf@bandungchoral.com | www.bandungchoral.com