![]() |
REGISTRATION |
| PLEASE WRITE IN BLOCK CAPITALS: | |
| 1. FIRST NAME: ....................................................................................................................... | |
| 2. LAST NAME: .................................................................................................................... | |
| 3. DATE OF BIRTH (DD/MM/YY): (....../......./............) | |
| 4. NATIONALITY: .................................................................................................................. | |
| 5. OCCUPATION/EDUCATION: .............................................................................................. | |
| 6. ADDRESS: ....................................................................................................................... | |
| 7. CITY: ............................................................................................................................... | |
| 8. STATE: ............................................................................................................................ | |
| 9. PIN CODE: ..................................................................................................................... | |
| 10. HOME TEL: .................................................................................................................... | |
| 11. MOBILE: ........................................................................................................................ | |
| 12. EMAIL: .....................................................................@.................................................. | |
| 13. HEIGHT (FT.INCH): (...../..........) | |
| 14. WEIGHT (KILOGRAMS): ................................................................................................. | |
| 15. BUST (INCHES): ............................................................................................................ | |
| 16. WAIST (INCHES): .......................................................................................................... | |
| 17. HIPS (INCHES): ............................................................................................................ | |
| 18. NO MORE THAN TWELVE
WORDS ON WHY YOU THINK YOU CAN WIN THE PAGEANT: ....................................................................................................................................................................... ....................................................................................................................................................................... |
|
Applicant Signature ....................................... |
Dated .................................... |
| JUDGES INFORMATION SHEET |
| Name: ............................................................................................................................................................................ |
| Title: ................................................................................................................................................................................ |
| Occupation or school information: ............................................................................................................................ |
| Interesting information about me: ............................................................................................................................ |
| My goal for this year is: ............................................................................................................................................... |
| My community involvement: ....................................................................................................................................... |
| My favorite community service project has been: ................................................................................................... |
| What are you ambitions in life and
where do you see yourself in the future? ........................................................................................................................................................................................... ........................................................................................................................................................................................... |
| I can represent Miss India
Angelworld because:
.......................................................................................... ........................................................................................................................................................................................... |
| What is the Lasting impression you
would leave the Judge's with once the interview concludes? ........................................................................................................................................................................................... ........................................................................................................................................................................................... |
| CONTESTANT HEALTH INFORMATION FORM |
| ................................................................................................................................................................................................. LAST NAME |
| ................................................................................................................................................................................................. HOME ADDRESS |
| AREAS ADDRESS NUMBER: ............................................................................................................................ |
| ................................................................................................................................................................................................. NAME OF PERSON TO CONTACT IN CASE OF AN EMERGENCY |
| ................................................................................................................................................................................................. HOME ADDRESS OF ABOVE PERSON |
| BLOOD TYPE: ....................................................................................................................................... |
| PLEASE NAME ANY MEDICAL INSURANCE
THAT YOU CARRY TO INCLUDE THE NAME OF THE INSURANCE, POLICY NUMBER AND
TYPE OF INSURANCE: ........................................................................................................................................................................................... |
| LIST MEDICINE (S), WHICH CAUSES SERIOUS REACTION: ............................................................................. |
| LIST ANY AND ALL HANDICAPS OR
IMPAIRMENTS THAT APPLY TO YOU:
................................................... ........................................................................................................................................................................................... |
| ADDITIONAL MEDICAL INFORMATION NOT
PREVIOUSLY STATED: ............................................................... ........................................................................................................................................................................................... |
![]() |
|
|