MRS INDIA INTERNATIONAL® 2017 (Preliminary to Mrs International®) CITY PERSONAL INFORMATION First Middle Last * DATE OF BIRTH *(The applicant should be between 21-46 years of age as on January 1st 2017.) PERMANENT ADDRESS * City State Pin Code CONTACT DETAILS Home Telephone * Office Telephone Mobile E-mail * PHYSICAL ATTRIBUTES Height * (Feet/Inches) (eg: 5'7") Weight * (in Kilograms) VITAL STATISTICS (IN INCHES) Bust Waist Hips * ARE YOU A NATURAL BORN FEMALE? * Yes No Married DO YOU HAVE ANY BIOLOGICAL CHILDREN? Children 1|Page MARITAL STATUS * Step Children Yes No Grand Children CAREER / EDUCATIONAL ACCOMPLISHMNTS: HOBBIES/INTERESTS * FAVORITE FAMILY TRADITION FAVORITE CHARITY & WHY? WHAT IS THE GREATEST CHALLNGE FACING MARRIED COUPLES TODAY? HOW WOULD YOU DESCRIBE YOURSELF? * (You may enter up to 300 characters.) WHY DO YOU WANT TO PARTICIPATE IN THE “MRS INDIA DUBAI INTERNATIONAL 2017? * (You may enter up to 300 characters.) IF YOU ARE SELECTED FOR THIS TITLE WHAT PLATFORM OR ISSUE WILL YOU SPEAK ON THROUGHTOUT THE YEAR. (You may enter up to 300 characters.) 2|Page ATTACHED YOUR PHOTOS * (1 close-up, 1 mid-shot and 1 full length) PLEASE ATTACHED COPIES OF THE FOLLOWING DOCUMENTS. 1. BIRTH CERTIFICATE 2. PASSPORT 3. FITNESS CERTIFICATE 4. MARRIED STATUS AFFIDAVIT 5. PROOF OF RESIDENCE. Also email entry/details at [email protected] Terms & Conditions 1. Contestant should be between 21 years of age by July 1st 2016 and no older than 56 years of age. 2. Contestant must be married a minimum of 6 months by July 1st 2016 of completion year and must be residing with spouse. 3. The Contestant should be a natural born female. 4. Contestant vying for a state title must be a citizen of representing country / state and a six month minimum resident in the state of her entry, or attend college or own property in that state. 5. The Contestant will be required to produce their age proof (Passport, birth certificate, school leaving certificate, driver's license, etc.) 6. A contestant could be selected to participate as a delegate “at large” if there is no competition in, state, region or country. Regional contestant cannot have participated at nationals in prior year. 7. Contestant will be subject to Registration fees and Training fees *Mandatory, fees may vary for each state and or country. 8. The Contestant should not be under any commercial contract with any modeling agency at the time of appearing for the auditions. 9. The Contestant once shortlisted cannot be a part of any other commercial contract or pageant. 10. Contestant must never have, nor will she during her region, pose for any photography, video, or film associated with any nudity or pornography. Nor has she ever or is presently involved in any form of employment which involves partial or complete nudity. 11. Contestant will permit Mrs. India International and their licenses the right to use contestants photograph for publicity purposes in connection with all Mrs. India International Competitions. 12. Contestant will permit Mrs. India International and their licenses to televise live or by the use of film or videotape any portion or all of the completion. 13. The regional round expenses (travel & stay) will have to be borne by the participant. 14. The Contestant will have to participate in a disciplined and diligent manner throughout as per schedule given. 15. The Organizers are not responsible if the sponsors do not make good the prizes promised by them. 16. The Organizers are not responsible for any loss or physical injury that occur to the Contestant on account of their participation in the event. The Contestant will participate at her own risk and can have no claim against Mrs. India International. 17. Incorrect information will result in disqualification, whether discovered prior to, during or after participation. 18. The decision of the judges is final in all cases. 19. Only persons of good health, sound mind and having no medical history of any mental illness and having a good moral character can participate made herein. 3|Page 20. The Contestant does not have any cases (criminal or civil) registered against her. 21. The schedule of events and qualification rounds are subject to change at the discretion of the Organizer. 22. The Organizers are not responsible for non-completion / non-occurrence of the event. In the event of any dispute, the Organizers decisions are final and binding on the Contestant. 23. The courts of Mumbai have the jurisdiction over all disputes. 24. For further information / clarifications, contact on Help line No. at the National Directors office from 10.00 am till 6.00 pm, on all days except on Saturdays & Sundays. Contestants understands that if she selected a winner in her competition. That for one year her professional affairs as said winner will be under the sole management of Mrs. India International and/or their licenses and the she will not give any written or oral endorsements commercially without the expressed permission of said same. Contestant further acknowledges that all rights for any appearances, endorsements, speaking engagements, acting roles, etc. resulting from winning or being a contestant in any regional, state or international competition affiliated with Mrs. India International shall belong exclusively to same. I agree to all the rules and regulations state on the application: Signature: _______________________________________Date: _______________ 4|Page
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