Miss South Sudan Registration Form

Before submitting your application the applicants must study and accept the Rules and Regulations of the Miss South Sudan Beauty Pageant.In addition the applicants must provide required documents. Please, take advantage of our registation plan, the earlier contestant register in the pageant, the lower their application's fee will be.
The registration plan as follow:
________________________________________________________________________________________

If you register between	Your application Fee is
August 1,11 - January 10,2012	$ 50
January 11,2012 – April 15,2012	$ 75
April 15,2012 – June 15,2012	$100

The application deadline is June15, 2012 @ 1130 pm

_________________________________________________________________________________________

* First Name

* Last Name

Address 1

City

* State

* Zip

Cell Phone

Home Phone

Best time to call

* Email Address

Your Height

Your Weight

Your Date of Birth

Your Place of Birth

School/Education

* I would like to Participate in Miss South Sudan

USA

Juba-South Sudan

* Will You do Bikini Contest if require

Yes

No

* Which State in Southern Sudan You Represent

* HOW DID YOU HEAR ABOUT US

* Brief Descriiption of Yourself

Photos

Your Photo # 1

Your Photo # 3

Reference Information

Reference # 1 Name

Reference # 1 Phone

Reference # 2 Name

Reference # 2 Phone

Rules & Regulations

Thanks for Signing Miss South Sudan Beauty pageant Registration form and by sumitting this application you have accept all the rules & Regulation (Please note that you are not considered contestant until you submit your non-refundable application fee and receive official accepting letter from Selection Committee)

* Indicates Response Required