AUTHOR’S APPLICATION
2017 ESC National Selection
1. Name, surname, date and place of birth
......
2. Short CV
......
3. Information about the work submitted for the Eurovision Song Contest 2017 (hereafter – Contest):
a. Title, length ......
b. Author(s) of the music ......
c. Author of the lyrics......
4. Hereby by signing and submitting this Application to the Host Broadcaster, I confirm:
a) being acquainted with the Rules (hereafter – Eurovision Rules) for 2017 Eurovision Song Contest National Selection and International Eurovision Song Contest, and herewith commit to comply hereunder;
b) that the submitted work meets all requirements named in the Eurovision Rules; the work is in no way subject to exercise of rights by any third persons; I warrant being fully authorized to submit the work for the Contest;
c) obligation to submit any personal information as may be requested by the Host Broadcaster;
d) to choose one version of the work;
1. to agree that the work shall be performed by an artist(s) as appointed by the Host Broadcaster;
……………………………………………………..……………………………………………………..name, surname, signature
2. to agree that the work may be performed by an artist(s) as appointed by the Host Broadcaster only in the event that an artist as chosen by the author is eliminated from the Selection;
……………………………………………………………………………………………………..……..name, surname, signature
e) to agree that the work may be adapted, arranged, staged or otherwise remade, for the purposes of performing it on stage;
f) in the event that the work gets to the Final, I agree it to be performed by all the finalists.
g) the work shall not participate in other countries’ National Selections.
h) in the event of success – obligation to sign the contract with the Contest Manager, referred hereto as the Host Broadcaster, if the work has been included by the Jury into the Contest programme.
ATTACHED HERETO:
1. Xerox copy of the passport or the ID card.
2. Photograph (.jpeg format).
Name, surname: Signature:
Please send your application to , till 1st December 2016