MUTYA NG SAN.
ROQUE 2019
Official Contestant Entry Form
First Name Middle Name Last Name Nickname:
Complete Address:
Representative of: Contact Number: Religion
Birthday: Birthplace COLOR:
Eyes: Skin: Hair:
SIZE:
Bust: Waist: Hips: Shoes: Pants: T-shirts:
Language Spoken: Language Written:
Are you working? Indicate details;
Are you studying? School Course Major
Scholastic Honors:
Extracurricular Activities:
Organization/s:
Special Skills or Extraordinary Talent:
Hobbies and Sports:
Ambitions:
Frustrations:
Unforgettable experience:
What is the greatest fear that you don’t want to experience in your life?
How can you promote the City of San Fernando in other places?
What are the other interesting facts about you?
I certify to the truth of the above information. Any misrepresentation may cause my disqualification or
cancellation of any title awarded. However, the pageant committee assures me that all information contained
herein shall be treated as confidential, and are to be used only for this event.
________________________
Signature over Printed Name
Applicant