APPLICATION FORM

General Information

Name: JOVCON, CHRISTY DEFENSOR Nickname: NENEN/CHRISTINA

(Surname) (Given Name) (Middle Name)

Age: 21 Date of Birth: DEC.21, 2001 Place of Birth: BRGY. PUERTO PRINCESA, BAROTAC VIEJO, ILOILO
Home Address: BRGY. PUERTO PRINCESA, BAROTAC VIEJO, ILOILO
Contact No.: 09605981158 Email Address: jov.christydefensor@gmail.com
Father’s Name: JOVACON, JOEDDY BARBER Occupation: DECEASED
Mother’s Name: DEFENSOR, AGNES GECALAO Occupation: TEACHER
In case of emergency, please contact: 09605981118 Relationship: MOTHER
Educational Attainment: COLLEGE
Language / Dialect Spoken: ENGLISH, TAGALOG, HILIGAYNON Barangay/ Organization Represented: PUERTO
PRINCESA

Personal Interest
Hobbies: READING BOOKS, TRAVEL, LISTENING MUSIC, EATING, SLEEPING Talent / Skills: COOKING,
BAKING
Sports Activities: BADMINTON, SWIMMING, VOLLEYBALL, BIKING Handler:
_______________________________
Philosophy in Life: BE HAPPY! IT DRIVES OTHER PEOPLE CRAZY!
Food Restriction: SEAFOODS, EGG, CHICKEN

Previously joined Beauty Pageants

Beauty Contest / Organizer Title Won

(Use separate sheet if necessary)

Body Measurements and Information

Height: 5’7 Weight: 52 Hair Color: BLACK Eye Color: BROWN

Bust: 33 Waist: 27 Hips: 36 Shoe size: 39

Shirt size: S/M

I hereby certify that the above information are all true and correct.

__ JOVACON, CHRISTY DEFENSOR____

Applicant’s signature above printed name

Date of Application: _________________

 APPLICATION FORM NO. ____________

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(To be filled up by Organizer)

Full Name (Last Name, First Name & M.I.): ___________________________________

Barangay/ Organization Represented: ____________________________________

Medical History

Hospital Confinement: ______________________________________________________________

Other Medical History: _____________________________________________________________

Requirements:

 Application Form
 A duly signed Endorsement/ Certification from Barangay/District representing
 A certified true copy of Birth Certificate
 Parent’s Consent

Assessed by:

___________________________
Screening Committee