OFFICIAL

MR & MS CHINATOWN PHILIPPINES APPLICATION FORM

Complete Name:

Nickname:

Screen Name:

Home Telephone Number:

Primary Contact Number:

Secondary Contact Number:

Email Address:

Birthday (MM/DD/YY):

Age:

Height (in feet and inches):

Weight (in lbs.):

Educational Attainment:

School, Course, Year Graduated:

Special Awards / Achievements:

If working, company name and position:

Citizenship:

Languages/Dialect Spoken:

Hobbies/Special Interests:

What talent can you showcase for the competition?

Are you under an existing contract?

If yes, please indicate with whom, nature of contract and inclusive dates:



Have you participated/won any beauty contest?

If yes, please indicate pageant, year joined and awards received if any:

Is there interesting fact that you could share about your family?

Is there any particular experience/phase in your life that basically shaped who you are now as a
person?



How do you see yourself in 5 years?


Are you currently in a relationship?

Have you ever given birth?

Have you committed any criminal/illegal offense?

If yes, please give details:





I certify to the validity and accuracy of the information I have provided in this application form.
I hereby understand and agree that any false/inadequate/misleading information I provided in
this application form or omission of important details in this form is a ground for my
disqualification before and during the contest or dethronement after the contest.






Signature over printed name
Date Accomplished (MM/DD/YY)