2" x 2" ID Picture

MISS SOPHIE PARIS PHILIPPINES APPLICATION FORM

GENERAL INFORMATION Complete Name (as it appears in your NSO Birth Certificate)
Surname: First Name Middle Name

Age:

Date of Birth: (mm/dd/yyyy)

Citizenship:

Nickname:

Permanent Home Address (House/Unit No. | Street Name | Barangay | Town | City | Province)

Present Home Address (House/Unit No. | Street Name | Barangay | Town | City | Province)

Home Phone No.: Height: Weight:

Mobile No.: Dress Size: Shoe Size: FAMILY BACKGROUND Occupation

Office No.:

Email Address:

Sophie Member Code:

Name
Father Mother

Address

Contact Details

EDUCATIONAL BACKGROUND Educational Attainment (Schools attended from secondary level onwards) Years Attended Name of School School Address

Degree

Honors and Special Awards

Inclusive Years

EMPLOYMENT BACKGROUND Name & Address of Company

Position & Nature of Work

Do you have existing contracts, talent management & similar agreements, endorsments, sponsorships and the like, whether oral or written? ____Yes* ____No If yes, with whom? : Contract period: Contract Details:

Have you participated in other beauty pageants int the past? ____ Yes* ____ No (If yes, please indicate below) Name of Pageant Organizer Title/Awards Won

Year

*Please attach additional sheets if necessary.

OTHER INFORMATION Languages or dialect/s spoken: Skills and Talents: Hobbies: What is your favorite Sophie product: Why do you think you should be crowned Ms. Sophie Paris Philippines 2011?

Person to notify in case of emergency: Name: Relationship: Contact Numbers (Landline & Mobile)

Attached to this application form are the following support documents: ____ Photocopy of NSO Certified Birth Certificate ____ 2 Copies: Close up 4R Picture with Makeup ____ 2 Copies: Full Body 4R Picture in white form fitting shorts and halter sando without makeup
(Please label with your name and vital statistics at the back)

DECLARATION OF CONTESTANT I hereby declare that all the information stated above are true and correct to the best of my belief and knowledge, and that I have not willfully suppressed any material fact. I authorize the investigation of all statements contained in this record. I understand that a misinterpretation or omission of facts called for within will render me liable to disqualification.

Date

Signature of Contestant Over Printed Name