Miss Scuba Sabah 2014 Reg Form

MISS SCUBA SABAH 2014

Pageant Registration Form
Contact Information
Full Name*

First NameMiddle NameLast Name
NRIC No.*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number (Home)

Area CodePhone Number
Phone Number (Mobile)*

Area CodePhone Number
E-mail*
Facebook
Twitter
Instagram
Personal Details
Birth Date*

MonthDayYear
Age*
Race*
Religion / Belief*
Talents (max 3)*
Hobbies (max 3)*
Long term ambitions (max 3)*
Language (I)*
Write

FluentFairBasic
Speak

FluentFairBasic
Language (II)*
Write

FluentFairBasic
Speak

FluentFairBasic
Language (III)
Write

FluentFairBasic
Speak

FluentFairBasic
Personal Measurement
(i) Height (cm)*
(ii) Weight (kg)*
(iii) Bust (cm)*
(i) Ability to swim*

YesNo
(ii) Please specify level of Scuba diving qualification obtained (if any)
(ii) Please specify the organisation with which you qualified under (if any)
I confirm the following (please tick for confirmation)*

am female by birtham single & had never been marriedam not pregnant & had never given birth
Education Background
Highest level of qualification attained*
University / College / Institute / School name*
Course taken
Employment Details
Are your currently employed ? *

YesNo
Which company are your currently employed ?
Job title / position in company
Pageant Experience
If you have previously participated in any pageant/ talent contest , please state the pageant/contest name & year
Others
(i) Please describe yourself is not more than 50 words:*
(i) What is your reason for joining Miss Scuba Sabah 2014?*
Upload portrait shot*

Upload a File

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Upload full length shot*

Upload a File

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Please note: By submitting your photo and age, you represent and warrant that you are least 18 years of age and have all legal right and authority, including and without limitation, to all copyright to the photos you submit and information that you provide.*

You have read and understood the rules and regulation set in this pageant, and agree to abide by them at all times. *(kindly refer to the Rules & Regulations in separate file)
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MISS SCUBA SABAH 2014

Contact Information

Personal Details

Personal Measurement

Education Background

Employment Details

Pageant Experience

Others