Register – Queen Of Delta State

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QUEEN OF DELTA @34 Official Registration Form

Theme: Beauty, Culture & Purpose

Edition: 34th Anniversary Celebration

Name

Date of Birth *

Age (as at time of registration) *

Local Government Area *

Home Town *

Residential Address *

Phone Number (WhatsApp preferred) * *

Email Address

Height (feet and inches) *

Weight (kg) *

Bust / Waist / Hips (in inches) * *

Dress Size *

Select

Hair Colour *

Eye Colour *

Select *

Name of Institution *

Course of Study / Qualification *

Have you participated in any pageant before? *YesNo

What is your unique talent? *

Briefly describe what makes you stand out as a Queen *

1 Recent Full Photograph (5x7) *⚠️ Please ensure your photo is clear and well-lit

No file chosen

1 Headshot (Passport-sized) * *⚠️ Please ensure your photo is clear and well-lit

No file chosen

Photocopy of Valid ID (National ID, Voter's Card, or Passport) *⚠️ Ensure all text is clearly readable

No file chosen

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DECLARATION

I, _________________________, hereby declare that all the information provided above is true and correct to the best of my knowledge. I understand that any false information may lead to my disqualification from the competition.

Enter Your Full Name *