・Name *

・Date of birth *

・Nationality *

・Gender *
ManWomanFree answer
If you chose ‘Free answer’, please enter the instrument.

・Postal code *

・Address *

・Telephone number① *

・Telephone number②

・Email address *

Please tick the relevant box.

・Solo instrument *
PianoVocal musicWind instrumentPercussion instrumentStringed instrumentOther
If you chose ‘Other’, please enter the instrument.

Accompany

Accompanist

・Availability of aids, etc. to be brought in *
WithWithout

・Publication of photos on websites *
PossibleNot

Please indicate the song titles recorded for submission to the qualifying jury.
If you have more than one song, please fill in 【2nd song】【3rd song】 below.

【1st song】
Song titles

Composer

Performance time

【2nd song】
Song titles

Composer

Performance time

【3rd song】
Song titles

Composer

Performance time

Please fill in if the song titles for the qualifying round and the main competition are different.
If you have more than one song, please fill in 【2nd song】【3rd song】 below.

【1st song】
Song titles

Composer

Performance time

【2nd song】
Song titles

Composer

Performance time

【3rd song】
Song titles

Composer

Performance time

Please describe your disability.
Please also provide a profile of your musical experience, awards received, names of teachers you have studied with, etc. (150 words).
(This information may be used for publication on PAM’s official SNS)
*

Photographs of your face and performance, and Please attach any other photographic data that appeals to you.
*

Recording of performances.
Please film a free piece of music (up to 10 minutes) and send the video.
(Please use Dater or Gigabit delivery service and the video must have been shot within the last 6 months).
Download link: *

Other remarks

Please check again that there are no errors in the information you have entered and
Please check again that the information you have entered is correct and press the submit button below.
After transmission is complete, an auto-reply email will be sent to the address you have entered.
If you do not receive an email, please check your junk mail box.

・Name *

・Date of birth *

・Nationality *

・Gender *
ManWomanFree answer
If you chose ‘Free answer’, please enter the instrument.

・Postal code *

・Address *

・Telephone number① *

・Telephone number②

・Email address *

Please indicate the instrument(s) play.

Instrument *

Please tick the relevant box.

Accompany

Accompanist

・Availability of aids, etc. to be brought in *
WithWithout

・Publication of photos on websites *
PossibleNot

Please indicate the song titles recorded for submission to the qualifying jury.
If you have more than one song, please fill in 【2nd song】【3rd song】 below.

【1st song】
Song titles *

Composer *

Performance time *

【2nd song】
Song titles

Composer

Performance time

【3rd song】
Song titles

Composer

Performance time

Please fill in if the song titles for the qualifying round and the main competition are different.
If you have more than one song, please fill in 【2nd song】【3rd song】 below.

【1st song】
Song titles

Composer

Performance time

【2nd song】
Song titles

Composer

Performance time

【3rd song】
Song titles

Composer

Performance time

Please describe your disability.
Please also provide a profile of your musical experience, awards received, names of teachers you have studied with, etc. (150 words).
(This information may be used for publication on PAM’s official SNS)
*

Photographs of your face and performance, and Please attach any other photographic data that appeals to you.
*

Recording of performances.
Please film a free piece of music (up to 10 minutes) and send the video.
(Please use Dater or Gigabit delivery service and the video must have been shot within the last 6 months).
Download link: *

Other remarks

Please check again that there are no errors in the information you have entered and
Please check again that the information you have entered is correct and press the submit button below.
After transmission is complete, an auto-reply email will be sent to the address you have entered.
If you do not receive an email, please check your junk mail box.

・Name *

・Date of birth *

・Nationality *

・Gender *
ManWomanFree answer
If you chose ‘Free answer’, please enter the instrument.

・Postal code *

・Address *

・Telephone number① *

・Telephone number②

・Email address *

・Corporate name *

・Organisation name

2up to 8 contestants are allowed.
Please fill in the names of all contestants.

①Name of performer
（representative）
Instrument

Address

Telephone number

②Name of performer

Instrument

Address

Telephone number

③Name of performer

Instrument

Address

Telephone number

④Name of performer

Instrument

Address

Telephone number

⑤Name of performer

Instrument

Address

Telephone number

⑥Name of performer

Instrument

Address

Telephone number

⑦Name of performer

Instrument

Address

Telephone number

⑧Name of performer

Instrument

Address

Telephone number

Please tick the relevant box.

・Availability of aids, etc. to be brought in *
WithWithout

・Publication of photos on websites *
PossibleNot

Please indicate the song titles recorded for submission to the qualifying jury.
If you have more than one song, please fill in 【2nd song】【3rd song】 below.

【1st song】
Song titles *

Composer *

Performance time *

【2nd song】
Song titles

Composer

Performance time

【3rd song】
Song titles

Composer

Performance time

Please fill in if the song titles for the qualifying round and the main competition are different.
If you have more than one song, please fill in 【2nd song】【3rd song】 below.

【1st song】
Song titles

Composer

Performance time

【2nd song】
Song titles

Composer

Performance time

【3rd song】
Song titles

Composer

Performance time

Please describe your disability.
Please also provide a profile of your musical experience, awards received, names of teachers you have studied with, etc. (150 words).
(This information may be used for publication on PAM’s official SNS)
*

Photographs of your face and performance, and Please attach any other photographic data that appeals to you.
*

Recording of performances.
Please film a free piece of music (up to 10 minutes) and send the video.
(Please use Dater or Gigabit delivery service and the video must have been shot within the last 6 months).
Download link: *

Other remarks

Please check again that there are no errors in the information you have entered and
Please check again that the information you have entered is correct and press the submit button below.
After transmission is complete, an auto-reply email will be sent to the address you have entered.
If you do not receive an email, please check your junk mail box.