Mr.

& Miss Summit 2018, Ramnagar, Uttarakhand

Rotaract Club: RI District: __________

Name: ________________________________________________

Address: ________________________________________________

________________________________________________________

Phone Number: __________________________________________

Email: __________________________________________________

Height: Feet Inches Weight: Kgs

Hobbies & Interests: _____________________________________ Photo

________________________________________________________

Why do you feel you deserve to be Mr./ Miss Summit 2018

(Answer in not more than 50 words):

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

What have you gained from Rotaract movement?

(Answer in one line)

___________________________________________________________________________

Signature of the Participant: _______________________________

Date: ___________________