#MGN 2024

Full Name

Date of Birth Day 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 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978

Identity Document (select applicable) International passport Drivers license National card Voters card Others

Current Address

Contact Details

Social Handles

ID card or passport with 1 copy of front and back

Student ID card(if studying) 1 set front-back copy

Photographic examples One photograph in color, half body, full body and straight front. size should be 5 x 7 inches or any other acceptable portrait sizes

Half body

Full body

Straight

I hereby certify that, upon being selected for the position of Miss Grand Nigeria 1st - 5th position and through the period of my reign, my contractual obligations to the Miss Grand Nigeria Organization supercede any prior or future contracts with any other party.

I agree to be removed or disqualified should any information provided by me is found to be incorrect or untrue.

I have attached all necessary documents and required evidence as follows

I hereby certify that all information provided above by me is true and correct in all respects.

I hereby certify that I have never engaged in any form of career opportunities, hobbies or behavior that is detrimental to morals or customs.

I certify that am fully qualified in accordance with the eligibility criteria of the Miss Grand Nigeria Organization to compete in all aspects of the Miss Grand Nigeria competition.

I understand and agree to abide by the rules, regulations, conditions as well as contracts (now and in the future) as far as it concerns my participation and eventual representation of the Miss Grand Nigeria Organization.