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I would like to participate in:
Select from the list
Miss India New York
Miss India USA
Miss India World Wide
Year
Name
Residency Status
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Citizen
Permanent Resident
Others
..If others , Please specify
Address
Telephone
Day :
. Evening
Fax :
. E-mail :
Age
Date of Birth
. (MM/DD/YYYY)
Birth Place
Height
Weight
Languages Spoken
Do You need an Interpreter
Yes
No
Father's Name
Mother's Name
Guardians Name (of other than parents)
Guardian's Address
Your Occupation
Education
Hobbies and Interest
Goals
Why do you want to participate in this pageant?
Talent Information:
YOU WILL BE ALLOWED A MAXIMUM OF THREE MINUTES TO PERFORM YOUR TALENT. THERE ARE ABSOLUTELY NO EXCEPTIONS TO THIS RULE.
Describe the talent you will be performing. Please be specific:
Special Requirements:
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Microphone
Microphone and Podium
Otyhers
..If others , Please specify
I will be performing my talent to recorded music.
Yes
No
(Please bring two copies of the professionally recorded music with your name clearly written on them. These cassettes will become the property of IFC. MAKE SURE YOUR MUSIC IS NO LONGER THAN THREE MINUTES)
Passport Information
Country
Passport No
Place of Issue
Date of Issue
Date of Expiry
Health Information
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Vegetarian
Non-Vegetarian
List any allergies we should be aware of:
Please list any and all handicaps that apply to you:
Your physician’s name:
Your physician’s telephone no.
Name of Health Insurance
Policy Number
References
Name 1
Relation
Tel
Name 2
Relation
Tel
Any information that was not captured in the application may be stated here:
Declaration (Please Tick)
I have read and agree to follow the Rules and Regulations for the pageant I wish to enter. I also certify that the information presented in this form is correct. I also understand that the IFC reserves all rights pertaining to this contest and its decision is final.
.