Entry Form International

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１
Telephone
Regional Name of Participating School Address of Participating School Fax No.
No. No.
No.
01 11 Lopez National Comprehensive High S Barangay Magsaysay Maharlika Highway Lopez, Quezon Philippines 4316 +63427177105
02
03
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Notes：
1 It is important that the "No." must not be repeated.
2 Please fill in the "Regional No." according to the related Country / Region in the Table 1 below. If the name of your country cannot be found in the table 1, just leave the
3 Please fill in the "Age Group" precisely according to the student's date of birth in the Table 2. (If it is a team work for the entry, all the students of the team must belong t
4 Please fill in the "Date of Birth" of each student in necessary. Please fill in the 'day', 'month' and 'year' separately.
5 Do not need to fill in this column if the ‘Name of School’ is the same as the ‘Participating School’.
6 It is not allowed more than 4 student partners in each team work entry. Please design a simple team name for the team, only if there are three or more participants.
7 Please fill in the "Title of the Artwork" in necessary.
8 Entries not conforming to the Note 3 or Note 4 above may be disqualified on the competition, or be relocated to the proper age group without announcement.
9 Each school should not submit more than 5 entries for each age group. Each participant should not submit more than one entry (include team work entry).
10 The digital artworks should not save with this Excel file in the same diskette or CD.
11 It would be appreciated if you can take digital photo of each entry and save them with this Excel file into the same diskette or CD (Photo size should be around 500KB a
12 All submitted entries will not be returned, the artwork and the copyright of all entries will belong to the organizers.
Table 1： Table 2：
Regional Age Group Birthday on or between
No. Country / Region 1 1 September, 2012 on or after
1 Hong Kong 2 1 September, 2009 – 31 August, 20
2 China 3 1 September, 2006 – 31 August, 20
3 Taiwan 4 1 September, 2003 – 31 August, 20
4 Macau 5 1 September, 1999 – 31 August, 20
5 Egypt
6 Indonesia
7 Thailand
8 Portugal
9 Korea
10 India
11 Philippines
12 Bulgaria
13 Iran
14 Ukraine
15 USA
16 New Zealand
17 Malaysia
18 Czech Republic
19 Netherland
20 Spain
21 Japan
22 Singapore
23 Australia
24 Sweden
25 Zimbabwe
26 Vietnam
27 Pakistan
28 Poland
29 Belgium
30 Canada
31 South Africa
32 Turkey
５
Name of School
Name of ３
Age day month year Student's Name day month year
E-mail Student's Name (1)
Principal Group (dd) (mm) (yyyy) (2) (dd) (mm) (yyyy)
jrtlim@gmail.com Siony A. Ga 5 Alyssa Lucelle E. R 14 08 2000

Total number of entries: 1
ot be found in the table 1, just leave the "Regional No." blank.

l the students of the team must belong to the same Age Group.)
re are three or more participants.
oup without announcement.

nclude team work entry).
(Photo size should be around 500KB and the file name should corresponding to "No." and "Title of the Artwork" in the table above) .
Birthday on or between
1 September, 2012 on or after
1 September, 2009 – 31 August, 2012
Name of School
５５
Name of School
day month year day month year
Student's Name (3) Student's Name (4)
(dd) (mm) (yyyy) (dd) (mm) (yyyy)
2018 International Year of the Reef Art and Design Competition (Int'l)
Entry Form
Po Leung Kuk C W Chu College
Lung Hang Estate, Tai Wai, Sha Tin, N.T., Hong Kong Official use Only
The Competition Committee Participating School No.:
Total number of entries submitted: 1 entries.
School Principal and the participants, hereby declare that the entry are the participants' original artworks and authorie THE
ORGANIZERS to retain the right to edit, alter, publish, or use any entries in any forms for exhibition and any educational purposes.
ALL ENTRIES SUBMITTED WILL NOT BE RETURNED, and the COPYRIGHT of all entries will BELONG TO THE
ORGANIZERS.
Age Artwork Students' Names, Date of Birth, No. of Title of the

Team's Name Teacher's Name
Group No. Name of School Students Artwork
Alyssa Lucelle E. Reynales 14/08/2000 ； // "mana"
5 -501 ； // ； //
N/A 1
(blessing)
Jensen Ryan T. Lim
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School Name : Lopez National Comprehensive High School

Address : Barangay Magsaysay Maharlika Highway Lopez, Quezon Philippines 4316
E-mail : jrtlim@gmail.com
Telephone: +63427177105 Fax :
Sch. Chop：
Signature of Principal :
Name of Principal : Siony A. Gabotero, Ed.D, Ph.D
Date:
Label of Entry (Please stick at the back of the artwork)　 Official Use Only
Artwork No.: -501

Alyssa Lucelle E. Reynales 14/08/2000 // // //
Students' Names:
Age Group: 5
Team's Name: N/A No. of student: 1
School Name: Lopez National Comprehensive High School
Address: Barangay Magsaysay Maharlika Highway Lopez, Quezon Philippines 4316
+6342717710
Tele
E-mail: jrtlim@gmail.com
No. : 5 Fax.: 0
Title of the Artwork: "mana" (blessing)
Teacher's Name: Jensen Ryan T. Lim
* All submitted entries will not be returned, the artwork and the copyright of all entries will belong to the organizers.
Artwork No.: -02

Students' Names: // // // //
Age Group: 0
Team's Name: 0 No. of student: 0
+6342717710
E-mail: jrtlim@gmail.com Tele No. : 5 Fax.: 0
Title of the Artwork: 0
Teacher's Name: 0
Artwork No.: -03

Age Group: 0
+6342717710
Teacher's Name: 0
Artwork No.: -04

Age Group: 0
Address: #REF! +6342717710
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Address: #REF! +6342717710
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Address: #REF! +6342717710
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Address: #REF! +6342717710
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Age Group: 0
Address: #REF! +6342717710
Teacher's Name: 0
Notice:
＃ Please don't input any data at this page. To input data, please go to the sheet
1(P.1 Entry Information) by selecting the page at the lower left hand corner.
＃ Please print out the labels on the left, cut them out and stick at the back of the entries.
(Please adjust the height of each rows and width of columns above to make sure all data are being se
＃ If the displayed format of the date of birth does not in (dd/mm/yyyy) beside each student name, pleas
the entries.
e sure all data are being seen and printed.)
de each student name, please see the instruction at the item 4 of the note in the first page (P.1 Entry Information).

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２

jrtlim@gmail.com Siony A. Ga 5 Alyssa Lucelle E. R 14 08 2000

ot be found in the table 1, just leave the "Regional No." blank.

re are three or more participants.

oup without announcement.

Total number of entries submitted: 1 entries.

Age Artwork Students' Names, Date of Birth, No. of Title of the

School Name : Lopez National Comprehensive High School

Artwork No.: -501

Artwork No.: -02

Artwork No.: -03

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