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TRANSCRIPT
2017/170591/07
INTERNATIONAL
APPLICATION FORM
MISS UNWORLDRegistered Name and Surname: ________________________________________________________________________________
Maiden Name: ________________________________________ I.D Number:___________________________________________
Weight: __________kg Height: ________________ Dress size: __________ Shoe Size: ____________ Age : ____________
Natural Eye Colour: _________________________________ Natural Hair Colour: ___________________________________
Physical Residential Address: ___________________________________________________________________________________
_____________________________________________________________________________________________________________________
Town/ Suburb :_______________________________________________________________ Code:_____________________________
Province: ____________________________________________ Country : _________________________________________________
Postal Address: __________________________________________________________________________________________________
Contact nos. (H) ______________________________________________ (W) ______________________________________________
Mobile: (+ __________)________________________________ e-mail : ____________________________________________________
Emergency no-(+ _________)_____________________________ e-mail : _________________________________________________
Qualification: (School) : __________________________________________________________________________________________
(Tertiary): _________________________________________________________________________________________
Applicants Current Occupation: __________________________________________________________________________________
(Initial Here) ………………………………………
Medical Condition: Clearly state condition, if on medication/treatment: Uniworld Pageants Reserves All Rights
________________________________________________________________________________________________________________________
Allergies: Are you allergic to any: ( Yes/No) Medication: ____________ Foods: ____________ Other_____________
If yes, clear state: __________________________________________________________________________________________________
List your interest/ Hobbies: _______________________________________________________________________________________
_______________________________________________________________________________________________________________________
Motivational Description of yourself: ____________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Have you participated in any other pageants/competitions ? _________________________________________________
If YES, State name and year of participation & Titles /Awards Received:
______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Have you been convicted of a crime/or involved in any? ______________________________________________________
( Note: Convicted includes after trail, as well as pleas of guilt or nolo contendere(no contest). If Yes, Please attach an explanation on a separate page.(Organizers discretion would determine success of application)
I hereby confirm the information supplied by myself is true and binding.
Name & Surname of Applicant: _________________________________________________________________________________
Signature of Applicant : ___________________________________________________ Date: ________________________________
Witness : Name & Surname(Print) ______________________________________________________________________________
Signature: ______________________________________________________________________________
Uniworld Pageants Reserves All Rights