BOHOL sandugo SONG FESTIVAL - 2014
ENTRY NO.
SONG TITLE: ________________________________________________________
NAME OF COMPOSER: -_____________________________________________________________________
ADDRESS: _________________________________________________________________________________
LANDLINE No.: _____________________ FAX No. : _______________MOBILE No.: ______________________
EMAIL ADDRESS:___________________________________________________________________________
DATE OF BIRTH: _____________________ PLACE OF BIRTH: _______________________________________
SEX: __________ CIVIL STATUS: ___________________ OCCUPATION: _______________________________
NAME OFL YRICIST:_________________________________________________________________________
ADDRESS: ________________________________________________________________________________
LANDLINE No.: ___________________ FAX No.: ____________ No. MOBILE: __________________________
EMAIL ADDRESS:___________________________________________________________________________
DATE OF BIRTH: _____________________ PLACE OF BIRTH: _______________________________________
SEX: __________ CIVIL STATUS: ___________________ OCCUPATION: _______________________________
CERTIFICATION
I hereby certify that the above song entry is my original work; that it has not been previously recorded, released or commercially sold; that it has not been previously assigned to a third party; and that no part of this song infringes on the copyright of any other existing work. I hereby indemnify the organizers of the Bohol Sandugo Song Festival, its officers and staff from any liability arising from copyright infringement.
I further certify that the information I have supplied herein are true of my own knowledge; that I have read and understand the competition rules and regulations and agree without reservation to abide by them and the final decision of the Board of Judges.
Attached is my birth certificate to prove that I am a Boholano.
COMPOSER: LYRICIST:
(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)
Date: ________________________ Date: ________________________
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