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APPLICATION FORM

 


First Name (as shown in Passport) :

Surname (as shown in Passport) :

Stage Name :

Nationality :

Citizenship :

Occupation/Job :

Home Address :

Postcode :

Country :

Phone No :

Work Address :

Postcode :

Country :

Phone No :

Age :

Date of Birth :

Height :

 Centimetres

Weight :

 Kilogrammes

Bust :

 Inches

Waist :

 Inches

Hips :

 Inches

Highest Education :

Talents :

Hobby :

Speaking Language(s) :

Achievements :

E-mail Address :

Your passport scan :

Choose your file here:

Your Photo :

Choose your file 2 here:

Your Photo :

Choose your file 3 here:

Preferable mailing address :



I understood and agree to The rules and conditions of the Miss International Queen™ contest. I understand that if I accept the rules I must agree to all the rules and conditions applicable. I agree that I will not commence or participate in any type of claim or lawsuit against the Miss International Queen™ Organisation and Tiffany’s Show Pattaya Co., Ltd. as well as its sponsors, associated members and institutions. If I am under 18 years of age, I will fill out a written entry form and have it signed by a parent or guardian.