BLOEM - JULY 2024
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ENTRY FORM<br />
Made Possible by<br />
PERSONAL INFORMATION<br />
Name<br />
ID Number<br />
Physical Address<br />
E-mail address<br />
Cell number<br />
Marital Status<br />
Surname<br />
Age<br />
Area code<br />
Alternative number<br />
Single Married Divorced Widowed Other<br />
Dependants<br />
EMPLOYMENT<br />
Employer<br />
Work number<br />
Job Description<br />
Time at current employer<br />
Months<br />
Years<br />
Describe yourself in five words<br />
Please provide a short but concise description of your involvement in your local community (plus the<br />
contact details of somebody who can verify this information)<br />
Please motivate why you should be on the cover of Get It Magazine<br />
Have you participated in a beauty pageant or beauty competition before? If yes, please provide details<br />
I am available on 21 September <strong>2024</strong> for a finalist photo shoot<br />
Please attach two recent photographs<br />
(one head and shoulders and one full length).<br />
I have read and understood the terms and conditions.<br />
Signature<br />
FOR OFFICE USE ONLY<br />
Entry number<br />
Date<br />
Photo<br />
Venue<br />
Received by<br />
DAY MONTH <strong>2024</strong><br />
YES<br />
NO
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