Complete this Form to enter for Miss VUT-FM 2015/2016

Name/s

Surname

Date of Birth

Place of Birth

Height (m)

Waist Size (cm)

Your Email (required)

Cell number

Short description of yourself

Attach a full length picture

Attach a half length picture

For more information, please contact us on:

Tel : 016 931 0195

Ehis: 078 273 4372

Liso: 078 548 8495