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 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: __________________________
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 orman_pogi@yahoo.com