application form                         MISS  -  MEJ .co.za             application form
 
Please read the application info and our terms and conditions

Name:    
Surname:

 Title:      Queen - Winner 1st Princess 2nd Princess 3rd Princess other

Other Beauty Pageant titles :

About  Yourself :

Occupation:    

Date of Birth:   (dd/mm/yyyy)

Id Number:     

Passport no.  

Nationality     

Height:           (In meters eg. 1.75)

Bust:             (In inches eg. 34B)

Waist:           (In inches)

Hips:             (In inches eg. 34)

Dress:           (eg. 10)

Shoe:            (SA eg.6)

Hair:             Blonde Light Brown Brown Dark Brown Brunette Black Red Grey Other     if other please specify   

Eyes:           Blue Green Blue-green Brown Hazel

Body Piercings? Yes  /  No  If yes where & what

Tattoos?    Yes  /  No          If yes where & what

Valid drivers license ?   Yes  /  No     

Valid Passport ?           Yes  /  No 

Sports & Special Skills:

Languages:  (Please indicate how well & if you can write them as well):

Tell us more about yourself : 

Are you represented by an agency? :  agency name 

Contact Details:  
(these contact details will not be disclosed /sold as it is for our administrative use) 

(Please include area code.  Eg. (021)

Telephone no. (Home):   

Telephone no. (Work):    

Telephone no. (Cel):       

Telephone no. (other)     

E-mail address:             

Website address:          

Address Home:  Street  
                          City    
                    Post code 

Address Work:     Street
                          City    
                    Post code 

Postal address:    Box   
                          City    
                    Post code 

 I will also post or e-mail a picture to the addresses listed under contact