Form of partecipation to the International competition
MISS ITALIA NEL MONDO
®
2005
-
No tax of enrolment !
First name
Last name
Street address
Zipcode
Town/City
Country
select please...
Algeria
Argentina
Australia
Austria
Belgio
Brasile
Canada
Cile
Colombia
Danimarca
Cuba
Ethiopia
Fillipine
Francia
Finlandia
Germania
Grecia
Giappone
Guatemala
Inghilterra
Irlanda
Lituania
Lussemburgo
Malta
Marocco
Mexico
Nuova Zelanda
Olanda
Paraguay
Perů
Portogallo
Repubblica Dominicana
Romania
Spagna
Stati Uniti d'America
Sudafrica
Svizzera
Thailandia
Uruguay
Zimbabwe
altro paese...
Date of birth
Place of birth
Phone number
FAX number
Cellular phone number
Email address
H
eight
S
ize dressed
Shoes
nr.
Color
of hair
Schools/Studies
Present work
Language knowledge
Hobby
Name of the father
Origin of the father
Name of the mother
Origin of the mother