1. OFFICIAL ENTRY
FORM
Medium: Pastel on Board Paper Acrylic on Canvass
Name: _______________________________________________________________________
Surname First Name MI
Complete Residential Address: ___________________________________________________
____________________________________________________________________________
Tel. No._________________ Mobile No.: _________________ Email: ____________________
Age: ____ Gender: ____ Date of Birth: _________ Place of Birth: ___________ Status: ______
School Background:
College/University: ____________________________Course: _______________ Year: ______
Are you a member of any art group?
o Yes (Please indicate the name)_______________________________________________
o No
How did you learn of the competition? (You may specify more than one)
o Poster o Art Group
o Fellow Artist (word of mouth) o Facebook
o Flyers o Email invitation
o Information Campaign o Others (please specify) _____________
I hereby swear to the truth of the foregoing information and that I have read and understood and
will abide by the rules of the competition.
2. ______________________________________________
ENTRY NO.:
Artist’s Signature over Printed Name
2 by 2
Photo
Data On The Painting
Title of Painting: _______________________________________________________________________________
Medium/ Materials used: ____________________________________________
o Pastel on Board Paper
o Acrylic on Canvass
Date Painting was Started: _________________________ Date Completed: _________________________
Please answer the following questions as briefly as you can (You may answer in Filipino):
1. What is your concept of hog raising in the Philippines?
Before doing this artwork:
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
After doing this artwork:
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
2. What is the main message of your artwork?
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
3. How does your painting inspire the industry of hog raising?
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
3. _____________________________________________
Artist’s Signature over Printed Name
AFFIDAVIT
I,__________________________________, Filipino, ______ years old, single/married and residing at
_____________________________________________________________ after having been duly sworn
in accordance with the law, hereby depose and state that:
1. I am joining PIGtacular Nationwide Painting Competition and in connection therewith, I am submitting
as my official entry, the painting entitled “_________________________________,” hereinafter called the
“ENTRY”.
2. The ENTRY is my original and exclusive creation, being the result of my intellect and labor alone, and
has not been copied from nor is similar to any previous or existing artwork (painting, design, sketch,
photograph, etc.) in terms of composition or otherwise, even if rendered in a different style, medium or
color scheme.
3. The decision of the Board of Judges as to whether my ENTRY is original shall be final and I bind
myself to abide by said decision.
4. I began work on the above-stated ENTRY on ______________________ and completed and readied
the same for competition on ___________________.
5. I unconditionally consent to the use of my winning entry for any UNAHCO material such as wall
calendar, desk calendar, planner, address book, all-occasion cards, e-cards, and other products/items,
and media without liability on the part of, or cost or fee to be paid by UNAHCO.
6. If I fail to claim my ENTRY on the dates specified in the rules, then I agree that it shall automatically
become the property of Petron Corporation.
7. I have read and I will abide by the rules, regulations and requirements governing the above mentioned
competition and, in this regard, I hereby exempt, discharge, release and free UNAHCO and its
directors/trustees/officers and staff and shall defend and hold them free and harmless from any claim,
liability or legal action arising from any potential or actual loss or damage arising from breach or falsity of
any of my representations, acceptances or undertakings herein and from any claim or liability from any
loss or damage which my ENTRY may suffer while being transported or while otherwise in the custody of
the UNAHCO.
I am executing this affidavit to attest to the truth, veracity and validity of all the foregoing and to certify,
under oath, originality, authenticity, and ownership of my above mentioned ENTRY, under pain of perjury.
In witness whereof, I have hereunto set my hand this __________ day of ____________________ 2012,
in the City/ Province of ____________________.
______________________________
AFFIANT
REPUBLIC OF THE PHILIPPINES
SUBMITTED AND SWORN TO before me this _______ day of _____________ 20 _________, in
_____________, affiant exhibiting his/her Community Tax Certificate No. ___________Issue at