2011 Lakan at Lakambini Application

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LAKAN AT LAKAMBINI COMPETITION PAGEANT SECRETARIAT c/o Asia United Bank, G/F Belinda Enterprises, Santiago Boulevard, General Santos City 9500 552-8803 552-8802 0922-833-0348 [email protected] Please fill up this form COMPLETELY in your own handwriting and submit personally to the Lakan at Lakambini Competition Secretariat. Name: ____________________________________ Land / Cell No.: ___________________ Address: ___________________________________ Email: __________________________ Birth Place: ________________________________ Birth date: _______________________ Age: _____ Citizenship: ___________ Occupation: __________ Employer: _____________ Where/How can you easily be reached? ___________________________________________ Father’s Name: _____________________________ Occupation: ______________________ Mother’s Name: _____________________________ Occupation: ______________________ Guardian: __________________________________ Land / Cell No.: ___________________ Address: ___________________________________________________________________ Schools Attended: ____________________________________________________________ Degree: ____________________________ Language/Dialects Spoken: _________________ Measurements: Height _______ Weight _______ Bust _______ Waist _______ Hips ________ Color of Hair: _________ Eyes: _________ Special Hobbies/Talents: ____________________ ______________________________________________________________________ ______ Have you ever participated in a beauty contest? _____________________________________ If so, name of contest: ______________________________ When? _____________________ Did you win any title? __________ If so, please state: ________________________________

Transcript of 2011 Lakan at Lakambini Application

Page 1: 2011 Lakan at Lakambini Application

LAKAN AT LAKAMBINI COMPETITION PAGEANT SECRETARIATc/o Asia United Bank, G/F Belinda Enterprises, Santiago Boulevard, General Santos City 9500

552-8803 552-8802 0922-833-0348 [email protected]

Please fill up this form COMPLETELY in your own handwriting and submit personally to the Lakan at Lakambini Competition Secretariat.Name: ____________________________________ Land / Cell No.: ___________________Address: ___________________________________ Email: __________________________Birth Place: ________________________________ Birth date: _______________________Age: _____ Citizenship: ___________ Occupation: __________ Employer: _____________Where/How can you easily be reached? ___________________________________________Father’s Name: _____________________________ Occupation: ______________________Mother’s Name: _____________________________ Occupation: ______________________Guardian: __________________________________ Land / Cell No.: ___________________Address: ___________________________________________________________________Schools Attended: ____________________________________________________________Degree: ____________________________ Language/Dialects Spoken: _________________Measurements: Height _______ Weight _______ Bust _______ Waist _______ Hips ________Color of Hair: _________ Eyes: _________ Special Hobbies/Talents: ________________________________________________________________________________________________Have you ever participated in a beauty contest? _____________________________________If so, name of contest: ______________________________ When? _____________________Did you win any title? __________ If so, please state: ________________________________Do you have an agent? __________ Name of Agent: ______________________________ Agent’s Land / Cell No.: __________________ Address: _____________________________ Agent’s Email: __________________________ Agent’s Fax No.: ____________________ Are you under contract? ____________________ Till when? ___________________________List down your existing contracts that you are presently committed to and their expiration dates:________________________________________________________________________________________________________________________________________________________List down at least three personal references who are non-relatives (Name/Address/Telephone):____________________________________________________________________________________________________________________________________________________________________________________________________________________________________Why do you wish to join the Lakan at Lakambini Competition Beauty Pageant? ____________________________________________________________________________Any other interesting information on yourself? __________________________________________________________________________________________________________________I HEREWITH ATTEST:1. That I have never been married, never been pregnant or have not fathered a child and I am in good health and of good moral character.2. That all of the aforementioned is true and correct and I am willing to submit satisfactory proofs of same including my age and citizenship.I also understand that I have to pass the screening and meet all the requirements of LAKAN AT LAKAMBINI COMPETITION before I can qualify as an official candidate and that any false misrepresentation I have made is sufficient ground for my disqualification from this contest.NOTE: THIS APPLICATION FORM SHOULD BE ACCOMPANIED BY YOUR BIRTH CERTIFICATE, SCHOOL DIPLOMA/CERTIFICATGE AND TWO COLOR PHOTOS (ONE CLOSE UP AND ONE FULL BODY SHOT)

APPLICANT SIGNATURE: __________________________ CONFORME: PARENTS/GUARDIAN: _________________________DATE SUBMITTED: __________________________