2015 3rdINVITATIONAL COMPETITION OFFICIAL ENTRY FORM NAME OF COUNTRY REPRESENTED : ORGANIZATION OF REPRESENTED: FULL NAME : (FAMILY NAME) FIRST NAME: ADDRESS : TELEPHONE NO.: (AREA CODE & NO.) PASSPORT No. ALERGIES: HOBBIES: SPECIAL TALENT: DATE OF BIRTH: / / PLACE OF BIRTH: LANGUAGE SPOKEN: Speak English? HEIGHT: (CM) WEIGHT: BUST: (CM) WAIST: HIP: (CM) SHOE SIZE: /spec USA/EU DRESS SIZE: HAVE YOU EVER PARTICIPATED IN A BEAUTY CONTEST?: IF SO, NAME CONTEST, CITY, AND TITLE - IF YOU WON: SWIMSUIT SIZE: Yes / No (Kg) (CM) IN CASE OF EMERGENCY,WE SHOULD CONTACT? (PHONE / E-MAIL): DO YOU HAVE A MEDICAL INSURANCE? IS THERE ANYONE TRAVELLING WITH YOU? IF YES, PLEASE LIST NAME & RELATIONSHIP NAME RELATIONSHIP NAME RELATIONSHIP DELEGATE PHOTO: MISS GLOBAL CITY PAGEANT & MISS GLOBAL IMAGE PROMOTION AMBASSADOR Phone Number: (+86) 183 018 55863 Contactor: Yvetta Shih Skype: yvetta7515 Email: citypageant@outlook.com Web: www.missglobalcity.org