2023

PERSONAL INFORMATION

NAME AGE
MAGANDA TOMSY 18
(surename/nom) (given name/pre-nom)

ADDRESS

BIRTHDAY PLACE OF BIRTH

EMAIL PHONE NUMBER
PRESENT CITIZENSHIP
(If citizenship is other than citizenship of country of birth, give date and place of change)

PASSPORT NUMBER
DATE OF EXPIRATION DATE ISSUED
PLACE ISSUED
LANGUAGE AND DIALECT SPOKEN

SOCIAL MEDIA ACCOUNT

FACEBOOK Note: You may upload your photos google
INSTAGRAM drive. Please provide the link.
TWITTER

CITIZENSHIP

A. Citizenship in any Country and Details Thereof:

COUNTRY CURRENT STATUS

(NATURAL BORN / NATURALIZED)

B. Petitioned as Resident or Application for Residency in any Other Country and Details Thereof:
COUNTRY CURRENT

C. Status as Immigrant to any Other Country and Details Thereof:

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 COUNTRY CURRENT

OCCUPATION

A. Present Occupation

EMPLOYER ADDRESS CONTACT NUMBER

B. Previous Occupation (use additional sheet, if necessary)

EMPLOYER ADDRESS CONTACT NUMBER

C. Details of ALL OUTSTANDING CONTRACTS for talent management and similar agreements, as well as for sponsorships, endorsements
and the like, whether written or verbal (use additional sheet, if necessary)

CONTRACT OTHER CONTRACTING PARTY PERIOD OF VALIDITY

DESCRIPTION

D. Details of ALL PAST CONTRACTS for Talent Management and Similar Agreements, as well as for Sponsorships, Endorsements

and the like, whether written or verbal (attach additional sheets if necessary)
CONTRACT OTHER CONTRACTING PARTY PERIOD OF VALIDITY
DESCRIPTION

D. Details of ALL PAST CONTRACTS for Talent Management and Similar Agreements, as well as for Sponsorships, Endorsements

and the like, whether written or verbal (attach additional sheets if necessary)
CONTRACT OTHER CONTRACTING PARTY PERIOD OF VALIDITY
DESCRIPTION

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 E. Past and Present Appearance in TV Shows, Movies and Pictorials (use additional sheets, if necessary)
DESCRIPTION ROLE INCLUSSIVE DATES OF APPEARANCE

ATTACHMENTS

1. PSA Certified True Copy of Birth Certificate

2. Image of the first page of the Philippine passport, if there is any
3. High School Diploma

Data Privacy Notice

I have read this form and understand its content and voluntarily give my consent for the collection, use, processing, storage and
retention of my personal data or information to Miss Universe Philippines (MUPh, Inc.) for the purpose of my application to be a candidate
of Miss Universe Philippines 2023 (MUPh 2023). I understand that MUPh, Inc. will capture images vis photography and videotaping at any
event it organizes and I grant permission to it and its collaboration entities to use the images without charges in any media methods
regardless of the occasion. I also understand that my consent does not prevent the existence of other criteria for lawful processing of
personal data under RA 10173 – Data Privacy Act of 2012 and other applicable laws and regulations.

TERMS AND CONDITIONS

The applicant understands that she shall be represented by MUPh, Inc. from the date she is selected as a candidate of “MUPh 2023” to the
conclusion thereof marked by the election of winners of the pageant. The applicant shall make full and honest disclosure of p articulars as
requested by MUPh, Inc. Any misrepresentation of any fact or particulars shall result in disqualification. The applicant warrants that she
has not been charged or convicted in any court of law in any country and that she is not a fugitive nor is she wanted by any law
enforcement agency. She also warrants that she is not under probation or is an ex-probationer. The applicant acknowledges that MUPh,
Inc. shall be at liberty to publish and otherwise use any recordings made by it, including without limitation the information on the national
pageant, audio recordings, visual recordings and photographs of her (if any), for the promotion of the pageant. The applicant understands
she is free to enter, participate and perform in the pageant and is under no restriction, limitation or disabilit y (contractual or otherwise) to
do so. The applicant accepts to be bound by these terms and conditions.

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 Applicant’s Signature over Printed Name Date

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