Application Form
1
2
3
Full Name
Date of Birth
Address
City
Zip Code
Country of Origin (Africa)
Email
Phone Number
Height (cm)
Weight (kg)
Next: Measurements
...
Dress Size
Shoe Size
Previous
Next: Biography
Occupation
What have you done for your community?
Career and/or Life Ambition
Special Interests/Hobbies
Three words to describe you
My Daily Philosophy
If crowned, what would you do with your title?
Head Shot Photo
Full Body Photo
Additional Image
A $50 refundable application fee will be required on the next page.
Previous
Review and Pay
