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The 1 st Thailand Intercultural Dancing Art Festival 2023 : TIDA Festival

22 – 28 November 2023 Pattaya beach, Thailand

Registration Form

GROUP INFORMATION

Group Title KULINTAYAW PERFORMING ARTISTS COLLECTIVE

Country PHILIPPINES

Group Leader MARK ANGELO BLASABAS


• Tel : +639670170483
a. Contact Information
• Fax :
• Email : markpblasabas17@gmail.com
• Website :
• Address : General Santos City, Province of South
Cotabato Philippines 9500
b. Number of Dancer
• Male : 10 persons
• Female : 1 1 persons

c. Number of Musician
• Male :4 persons
• Female : 0 persons

a. Number of Director of
official • Male :2 persons
• Female :0 persons

Language Use English Only

PERFORMANCE INFORMATION

Number of Performance • Dance : 10 (Tentative)

• Music : 10 (Tentative)

• Others :

Equipment Needed • Microphone : 6

• Chair : 20

(for musician and dancer)


DEPARTURE and ARRIVAL INFORMATION

Arrival Date and Time


(at Suvarnabhumi airport or
Donmuang airport, Bangkok ,
Thailand)

Airline Flights Number • Departure :


• Arrival :

Departure Date and Time

OTHER INFORMATIONS

Religion
Christian ✔
Judaism
Buddhism
Catholic ✔
Orthodox
Hinduism
Moslem ✔

please check (√) ; could be more than one religion


Religion Custom Need in Daily Lifes
Foods
Food Allergy
Others (Religion Purpose) We have a Non Pork eater in our team
MEMBER LIST

Given Passport
No. Surname Gender Birth Date Description
Name Number
1 BLASABAS MARK M 05/17/1996 Coordinator
ANGELO
PATINDOL RHEYNEL M 01/21/1997 Assistant
2 MARK Coordinator/
Performer
3 PLASABAS GIAN M 04/18/2001 Instrumentalist
4 SARMIENTO NIÑO M 01/22/2007 Instrumentalist

5 DELA CERNA FRANZ M 06/12/2007 Instrumentalist


ALDREN
6 TORRION GABRIEL M 05/06/2003 Performer
7 AGUELO SELWYN M 10/10/2002 Performer
8 FLECHERO DOMAKRAYO M 12/12/2000 Performer
9 VALENCIA CARLJOSHUA M 10/04/2006 Performer
10 PANDAY JAKE M 01/02/1996 Performer
11 SAMOD JONAR M 06/21/2003 Performer
12 BADIANG WILLIAM M 07/10/1999 Performer
13 OCCIDA GENELO M 01/25/2001 Performer
14 ASPARO HENRY M 11/14/2003 Performer

15 NILLAS FRANCIS M 10/20/2005 Performer


TROY
16 BALIMBINGAN LYCELLE F 06/11/1999 Performer

17 TAGHAP CEEJAY F 02/15/1998 Performer


MACYL
18 AYUBAN JOMAICA F 06/21/2003 Performer

19 MARANGA GLAYDEL F 06/10/2002 Performer


MAE
20 MARANGA NOVY LOVE F 11/11/2003 Performer
21 SALGADOS KATE F 02/23/2000 Performer
22 MAMALUBA SOPHIA F 05/22/2003 Performer
23 ANTIC MECAREN F 05/22/2003 Performer

24 REYES ARAMAE F 06/11/2001 Performer


ANGELIE
25 REYES ANGEL F 09/12/2007 Performer
26 DUMPAS SHEENA MAE F 04/10/1998 Performer

Sign and Stamp of Group

MARK ANGELO BLASABAS


Name of Director

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