網上報名表 Online Application Form
姓名(中文)Chinese Name
請以中文輸入
Name (English)
First Name, Last Name
住址 Residential Address
郵區號碼 Postal Code
電郵地址 E-mail Address
電話 Phone Number
手機電話 Cell Phone Number
出生地點 Place of Birth
出生日期 Date of Birth
month
January
Feburary
March
April
May
June
July
August
September
October
November
December
date
1
2
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30
31
year
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
出世紙號碼 Birth Certificate No.
年齡 Age
17
18
19
20
21
22
23
24
25
26
27
28
護照號碼 Passport No.
國籍 Nationality
父母/監護人姓名 Parents'/Guardian's Name
能操語言 Language(s) Spoken
截至呈交此表格日期為止曾於加拿大居住之年數
Number of years of residence in Canada
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
學歷 Education
中學 High School
年級 Grade
學院/大學 College/University
年級 Year
主修課目 Major Subject
其他 Others
履歷 Employment History
現任僱主 Name of Present Employer
何種業務 Occupation
職位 Job Title
受僱期 Employment Period
month
January
Feburary
March
April
May
June
July
August
September
October
November
December
year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
To
month
Now
January
Feburary
March
April
May
June
July
August
September
October
November
December
year
Now
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
電話號碼 Phone Number
前任僱主 Name of Previous Employer
何種業務 Occupation
職位 Job Title
受僱期 Employment Period
month
January
Feburary
March
April
May
June
July
August
September
October
November
December
year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
To
month
January
Feburary
March
April
May
June
July
August
September
October
November
December
year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
電話號碼 Phone Number
身材尺碼 Measurements
身高 Height
Meters
ft.
in.
體重 Weight
KG.
LB.
胸圍 Bust
cm.
in.
腰圍 Waist
cm.
in.
臀圍 Hips
cm.
in.
嗜好 Hobbies
志向Ambitions
專長Special Talents
曾否參加過選美比賽,何時及什麼選美比賽?
Have you ever participated in a Beauty Contest? If yes, When & What Contest?
你曾否在加拿大或海外有任何犯罪記錄?
Do you have any criminal record in or outside of Canada?
---
Yes
No
監護人表格 Guardian Form
* 參賽者如未滿19歲則填寫下面表格
The following must be completed by the Parent or Guardian of any Contestant aged under 19 years old.
本人已細閱以上之報名表格,本人為參選者之母親 / 父親、監護人,現同意參選者參加是次競選。
本人確認參選者填報之各項資料均屬真確。
由於主辦機構准許參選者參加是次競選,本人同意:
( A ) 整份參加表格是為參選者利益而設。
( B ) 參選者已徵得本人同意,始參加是項競選。
( C ) 本人批准參選者參加大會指定之國際性選美比賽,如有需要,並會同意參選者離開加拿大參加此等比賽。
I have read the above Application Form. I am the mother/father/guardian of the Contestant and give my consent to her entering the Pageant. I confirm the information given by her is correct. In consideration of the Organizer allowing the Contestant to take part in the Pageant, I hereby agree :
( A ) That this Application Form as a whole is for the benefit of the Contestant.
( B ) That the Contestant is taking part in the Pageant with my consent.
( C ) That I will give my consent to the Contestant taking part in International Beauty Contests including, where necessary, her leaving Canada to take part in such Contests.
姓名(中文)
請以中文輸入
Name (English)
First Name, Last Name
住址 Residential Address
電話 Phone Number
性别 Sex
---
Female
Male
護照號碼 Passport No.
家長/ 監護人簽署 Signature of Parent/ Guardian
在此輸入全名作數碼簽署 Typing your full name will act as your digital signature.
提名表格 Nomination Form
姓名(中文)
請以中文輸入
Name (English)
First Name, Last Name
住址 Residential Address
電話 Phone Number
性别 Sex
---
Female
Male
出生日期 Date of Birth
month
January
Feburary
March
April
May
June
July
August
September
October
November
December
date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
出生地點 Place of Birth
手提電話 Cell Phone Number
僱主名稱及地址 Employer's Name and Address
公司電話號碼 Company Tel.
何種業務 Type of Business
職位 Job Title
護照號碼 Passport No.
本人已認識參選者I have known the Contestant for
年Years
與參選者關係Relationship with Contestant
本人確認已細閱報名及提名表格,就本人所知及所信,由本人及參選者填報之各項資料,均屬確實無訛。
I confirm that I have read the Application & Nomination Forms and that all the information given by the Contestant and by me is true and correct to the best of my knowledge and belief.
提名人簽署 Signature of Nominator
在此輸入全名作數碼簽署 Typing your full name will act as your digital signature.
上載照片 Image Upload
The image must be .jpg format.
申請人之半身像Mid-body shot of Applicant
申請人之全身像Full body shot of Applicant
申請人之出生証明副本Applicant Photo ID - Front
(Photocopy of Birth Certificate)
申請人之加拿大護照或加拿大合法居留簽證文件副本 Applicant
(Photocopy of Canadian Passport or Evidence of Residency)
提名人之證件副本Nominator Photo ID - Front
(Photocopy of driver’s license or passport)
本人現證實:
本人經已細閱「二○一六年溫哥華華裔小姐競選」報名表格並同意遵守上述條文之約定,而上述填報之資料均屬正確無誤。
- 本人從未結婚,目前並非懷孕,亦從未生育嬰兒。
- 本人從未在加拿大或海外有任何犯罪記錄。
- 本人會遵守第六項內所述之合約。
I certify that I have read the Application Form for the "Miss Chinese (Vancouver) Pageant 2017" and hereby agree to abide by all the aforesaid terms and conditions and
that the information given above is true and accurate.
- I confirm that I have never been married, have never been pregnant and have never given birth to a child.
- I confirm that I have no criminal record in and outside of Canada.
- I confirm that I have read and understand the content of this application form, and that if chosen to take part in the Final of the Contest, I will sign the contract with the Organizer.
參賽者簽署Signature of Applicant
在此輸入全名作數碼簽署 Typing your full name will act as your digital signature.
同意聲明I have read and agree to the terms and conditions