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Registration Form

Fill the Form below with the correct information. Click Here to read the Terms and Conditions. Note: You will upload your photograph in the next page. The format should either be in GIF, JPG, JPEG, or PNG.

Audition Date: Lagos-20th Aug 2016, PH-23rd Aug 2016, Enugu-26th Aug 2016, Abuja-27th Aug 2016.

BANK DETAILS Account Name: Link-Up Entertainment Limited Account No: 1011727872 Bank: Zenith Bank
Registration Form
Bank Teller No:
First Name
Other Names
Surname
State
LGA
Date of Birth (DD/MM/YY)
Current Address
Phone No(s) 1:     2:
Facebook
BBPin
Email
Educational Qualification
Name of Institution
Level (If applicable)
Name of Parents or Guardian
Parents'/Guardian's Phone No
Residential Address
If you are registered with any Modeling Agency, state Name and Phone No(s)
Why do you want to contest in this pageant?
Clearly write an Introduction of a Pet Project you will run if you win the pageant.
By clicking submit I affirm that "I am over 18 and hereby register to participate in Miss Independence Nigeria Beauty Pageant. I undertake to abide by the Rules of the Pageant. I further undertake to conform to and promote the policies, goals and objectives of the organization and shall not do anything that will bring disrepute to the pageant. I waive my rights over my pictures, audio, video or any recording in which I appear to Link-up Entertainment Ltd. I also confirm that all the information supplied in this application is true and correct."