MISS GHANA 2014 BEAUTY PAGEANT Please affix passport size photo here REGISTRATION FORM PERSONAL DATA Surname: .......................................................................................................................................... Middle Name: .................................................................................................................................. First Name ………………………………………………………………………………………………………………………………..… Date of Birth (DD/MM/YY): ………………………………………………………..… Age ……………………..……………. Place of Birth (City/Country): ……………………………………………………………………………………………………. CONTACT ADDRESS Mailing Address: ………………………………………………………………………………………………………………………… Telephone Contact: ………………………………………… Email: ……………………………………………………………… Permanent Home Address: .............................................................................................................. .......................................................................................................................................................... ................................................................................................................................................... Where did you grow up: .................................................................................................................. Language(s) Spoken Fluently: .................................................................................................................... (Separate multiple languages by comma) .......................................................................................................................................................... Occupation………………………………………………………………………………………………………………………………..… Institution: …………………………………………………………………………………………………………………………………. For enquiries please contact: 0302 763986, 020 8183244 PHYSICAL FEATURES Height (feet/inch): …………………………….............. Weight (Kg): ………………………………………………..……. Colour of Hair: ................................................... Colour of Eyes: ..................................................... Clothing Size: American (A) British (B) Continental (C) Shirt/ Blouse: ............... (A) …................ (B) ...................(C) Dress Size: …….............. (A) ................... (B) ...................(C) Hobbies: …………………………………………………………………………………………………………………………………….. EDUCATION Last School Attended ………………………………………………………………..……………………………………………………………… Please list scholarships and achievements if any…………………..………………………………………………………………….. …………………………………………………………………………………………………………….…………………………………………………… List any other awards or achievements (non‐ scholarly) …………………..………………………………………………………. Do you have any Performable Talents……..……………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………. Do you have any Special training in music, dance or art? ……………………………………………………………………………………………………………………………………………….…… Have you taken part in any beauty contest/ modeling competition locally or internationally? (Yes/No) ………………………………......... If Yes, please give details including Event Date of Participation Venue ..................................................................... ................................ ............................................... ..................................................................... ................................ ............................................... ..................................................................... ................................ ............................................... ..................................................................... ............................... ............................................... Others.................................................................................................................................................... ............................................................................................................................................................... ............................................................................................................................................................... For enquiries please contact: 0302 763986, 020 8183244 Favourite Colour ……………………….................................................................................................................... Favourite Food ………………………………………………………………………………………………………….……………………………… Favourite Personality (actor, singer, politician, etc.) ………………………………………………………………………………… Briefly describe yourself in 300 words………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. Why do you want to be Miss Ghana: ……………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. Mission Statement …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………...................................... ……………………………………………………………………………………………………………………………………………………………….... What is your career ambition: ...................................................................................................................... ...................................................................................................................................................................... ...................................................................................................................................................................... ...................................................................................................................................................................... Please give below any other interesting information about yourself which has not been stated in preceding questions. Please note that this information may be used for press releases and television commentary as well as research material for the judges ………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………. For enquiries please contact: 0302 763986, 020 8183244 CRIMINAL BACKGROUND Do you have a criminal record? (Yes/No)......................................................................................... If Yes, provide details (Attach supporting documents)..................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... TRAVEL INFORMATION List countries visited outside Ghana, dates visited. Country Date(s) Visited ...................................................... ............... ............................................................... ...................................................... .............................................................................. ...................................................... ............... ............................................................... ...................................................... ................................................................................ ...................................................... ............... ............................................................... ...................................................... ............... ............................................................... Which countries have you applied for visas in the last 10 years? ................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... Have you ever been refused visa application? (Yes/No) ………………………………………………................ If Yes, which country and why? (please attach supporting documents)............................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... ……………………………………………………………………………………………………………………………………………………. For enquiries please contact: 0302 763986, 020 8183244 FAMILY BACKGROUND Mother’s Name ……………………………………………………………………………………………………………………………………….. Mother’s Occupation………………………………………………………………………………………………………………………………… Father’s Name …………………………………………………………………………………………………………………………………………. Father’s Occupation …………………………………………………………………………………………………………………………………. Next of Kin …………………………………………………………………………………………………………………………………………..…… Two (2) Referee(s)/ Guarantors ……………….………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………. REQUIREMENTS 
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Must be a Ghanaian; Must be 5’7’’ and above tall; Must be between the ages of 18 to 23 (Contestant must not be more than 23 years at the time of the Miss Ghana final competition and not more that 24 years at the time of Miss World competition) Must have completed senior secondary education or be in a tertiary institution or completed; Must have a national ID, preferably a passport; Must be single, never married; Must have never had a child; Must have no criminal record; Must have a lean physique; Must be enthusiastic; Must be good looking; Have a photogenic face. Benefits of the Miss. Ghana Contest Participating in the Miss. Ghana contest not only affords the young Ghanaian woman the opportunity to make his country proud but to be a better person in the society. Miss Ghana provides the platform for the young woman to gain exposure, access opportunities, as well as essential grooming and educational tit bits to aid them in their activities. For enquiries please contact: 0302 763986, 020 8183244