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Get it Bloem - COVER SEARCH 2022 ENTRY FORM

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<strong>ENTRY</strong> <strong>FORM</strong><br />

PERSONAL IN<strong>FORM</strong>ATION<br />

Name<br />

ID Number<br />

Physical Address<br />

E-mail address<br />

Cell number<br />

Mar<strong>it</strong>al Status<br />

Surname<br />

Age<br />

Area code<br />

Alternative number<br />

Single Married Devorced Widowed Other<br />

Dependants<br />

EMPLOYMENT<br />

Employer<br />

Work number<br />

Job Description<br />

Time at current employer<br />

Months<br />

Years<br />

Please motivate why you should become the <strong>Get</strong> <strong>it</strong> <strong>COVER</strong> PERSONALITY <strong>2022</strong>.<br />

Please provide a short but concise description of your involvement in your local commun<strong>it</strong>y (plus the<br />

contact details of somebody who can verify this information).<br />

Describe yourself in five words.<br />

Have you participated in a beauty pageant or beauty compet<strong>it</strong>ion before? If yes, please provide details.<br />

I am available on 7 October <strong>2022</strong> for a finalist photoshoot.<br />

Please attach two recent photographs<br />

(one head and shoulders and one full length).<br />

I have read and understood the terms and cond<strong>it</strong>ions.<br />

Signature<br />

FOR OFFICE USE ONLY<br />

Entry number<br />

Date<br />

Photo<br />

Venue<br />

Received by<br />

DAY MONTH <strong>2022</strong><br />

YES<br />

NO

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