Member 成員#1

Chinese Name 中文姓名 English Name 英文姓名 Gender 性別 ----- Select 請選擇 ----- Female 女 Male 男 Do not want to tell 不想說 Date of Birth 出生日期 Age 年齡

Home Address 居住地址 Proficient Language 精通語言 Nationality 國籍

Other Talents 其他才藝 Performing Experiences 演出經驗

Email 電郵 Tel 電話 1 Tel 電話 2

I certify that, to the best of my knowledge, all statements I have made in this Entry Form are complete and true and that all records are complete and unaltered. I acknowledge that failure to disclose and provide complete and accurate information may result in the disqualification from the contest. I have read and agreed to the rules and regulations.

If the Member listed above is under 19 as of the date of application, please have a legal guardian fill out the following information. 假如以上成員在遞交參加表格當天尚未滿19歲，必須由監護人填報以下一欄。

Guardian 監護人

Chinese Name 中文姓名 English Name 英文姓名 Relationship 關係

Home Address 居住地址 Phone 1 電話 1 Phone 2 電話 2

I certify that, to the best of my knowledge, all statements I have made in this Entry Form are complete and true and that all records are complete and unaltered. I acknowledge that failure to disclose and provide complete and accurate information may result in the disqualification from the contest. I have read and agreed to the rules and regulations.