Professional Documents
Culture Documents
Please read carefully and fill this up completely, DO NOT LEAVE ANY ITEM
UNANSWERED OR BLANK and answers should be accurate.
26. Other countries travelled for the past 5 years ( kindly enumerate & indicate
year of travel & purpose of travel )
42. Do you have any medical condition? ( eg. Asthma, Allergies, Sleep
Disorders, Heart Problems, Diabetes, Thyroid Disease and the like ).
42.23. Do you have any medical condition? ( eg. Asthma, Allergies, Sleep
Disorders, Heart Problems, Diabetes, Thyroid Disease and the like ).
I hereby attest that all information I have entered herewith are true and
correct. I have been made aware that any false or inaccurate information I
have entered here to will render this application to be invalid and will cause
myself and or my Talent and vice versa, to be disqualified from the WCOPA
2016 Competition at any stage of my application and or participation in the
event.
CONFORME:
Contestant Parent/ Legal Guardian
_______________________ _______________________
Signature over Printed Name Signature over Printed Name
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