MISS
TEEN WORLD 2005 PAGEANT
CONTESTANT APPLICATION FORM
Applicants must be 14 - 19 years old AND must
hold a Zambian Passport.
Surname: ……………………………………………………………………………………………………….
First Name: ………………………………………. Middlename(s):.……………………………………….
Date of Birth: ……………………………….……. Age: ……………………………………………………
Height: …………………………………………….. Weight: ………………………………………………
Bust size: …………………………………………. Hips: ….………………………………………………
Dress size: ………………………………………... Shoe size: …………………………………………
Address: ………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
………………………………..............................
Post Code: ……………………………………………
Telephone: ………………………………… …… Mobile: ………………………………………………
Email:………………………………...................................................................................................
Occupation: ………………………………………………………………………………………………..
Ambition: ……………………………………………………………………………………………………
Hobbies: ……………………………………………………………………………………….……………
……………………………………………………………………………………………………………….
Signature: ……………………………………….. Date: ………………………………………………..
Please enclose two recent photographs of the
applicant (one full length and one portrait)
and return to:
Perryfield Promotions
Miss Teen World 2005 Pageant
3 Pymmes Brook House
Colney Hatch Lane
LONDON N10 1AX
Tel: 020 8442 1335
Fax: 020 8444 2360
Mobile: 07791 692 490 / 07949 008 834
Email: misszambiauk@yahoo.co.uk
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