Please read the qualifications first before answering this entry form.

• 18-25 years of age
• Filipino citizen
• Minimum of 5'4" in height
• Must possess beauty of face & figure
• Has environmental awareness

Please answer all questions truthfully. If the question is not applicable to you, please type NA.
After submitting this online entry form, please prepare the following:

• 5R Close-up and full body (in swimsuit) photos [Please put on light, fresh look make-up ONLY. Also have soft copies of the said photos]
• NSO Certified birth certificate
• HS / College Diploma
• 1 minute video about yourself and why you should be the next Miss Philippines Earth
• 1 liner advocacy in line with the celebration of the International Year of Sustainable Energy for All (For more info, visit their website)
• Printed online form

TO FOLLOW IF STILL PROCESSING:
• 1 minute video about yourself and why you should be the next Miss Philippines Earth
• Recommendation from city/municipality from area to be represented

Staple the requirements in the following order:
1. Headshot (5R)
2. Fullbody shot (5R)
3. Printed Application Form (to be emailed to you by CPI)
4. Birth Certificate
5. Diploma
6. Endorsement Letter
Submit the soft copies of the photo and your 1-minute video in a CD or DVD.
Please bring a swimsuit and high heels during the screening.

To all aspiring candidates overseas or outside Metro Manila, you can submit your requirements electronically first and wait for our callback.

Complete Name: (First Name Middle Name Surname)
Nickname:
Screen Name:
Municipality/City (to be represented):
Home Telephone Number:
Office Telephone Number:
Primary Mobile Number:
Secondary Mobile Number:
Mayor's Name:
Mayor's Office Contact Person/Number:
Email Address:
Birthdate (MM/DD/YY):
Age:
Evening Gown Designer:
Contact Number:
Flores De Mayo Filipiniana Designer:
Contact Number:
Dress Size 1
2
4
6
8
10
Shoe Size 5
5 1/2
6
6 1/2
7
7 1/2
8
8 1/2
9
9 1/2
10
10 1/2
11
Other
Height (in feet and inches):
Weight (in lbs)
Educational Attainment:
Course, Year Graduated, School:
If working, company name & position:
Citizenship
Languages/Dialect Spoken:
List down countries you have travelled to and year visited:
Special Awards/Achievements:
Hobbies:
Are you performing a talent for the competition? Yes
No
If yes, what? Please describe briefly.
Reading (Kinds of books/Author):
Movies (Kinds of movies/Actors):
Sports:
Special interests:
Are you under an existing contract? Yes
No
If yes, please indicate with whom, nature of contract and inclusive dates:
Have you participated/won any beauty contest? Yes
No
If yes, please indicate pageant, year joined and awards received if any:
Any special facts about your family?
Describe your childhood/growing years (8-13 years old).
What lessons did you learn from your childhood/growing years?
Most memorable moment?
What is the most unusual thing you've ever done?
What is your ambition in life?
What is your environmental advocacy and why did you choose this?
What tip can you share to promote sustainable energy for all?
Are you single? Yes
No
Have you given birth? Yes
No
Have you committed any criminal/illegal offense? Yes
No
If yes, please give details:
Have you engaged in the following work/occupation: model,hostess,GRO in establishments generally known or reputed to be "girlie" joints? Yes
No
Are you cohabiting with another man whether single/married? Yes
No
I certify to the validity and accuracy of the information I have provided in this application form. I hereby understand and agree that any false/inadequate/misleading information I provided in this application form or omission of important details in this form is a ground for my disqualification before and during the contest or dethronement after the contest.
Date Accomplished (MM/DD/YY)

END OF QUESTIONNAIRE