Pran Gangaraju won the title of Miss India USA 2014 in New Jersey on December 14, 2014. She will represent USA in the Twenty Fourth Annual Miss India Worldwide Pageant in Goa, India in June of 2015
Ushma won the title of Mrs. India Georgia 2014-2015
Kali won the title of Miss Teen India Georgia in July 2014.
Richa won the titles of Miss India Georgia 2014-2015
Miss/Teen/Mrs./Mr. India Georgia/USA Winners and Runner-Ups.
Akshaya Vijaykumar won the titles of Miss Teen India USA 2012-2013 and Best Talent February 2013.
Alycia Rehmatulla won the national title of Miss Teen India USA 2013-2014 on November 24, 2013 in New Jersey. She also won the superlative Miss Beautiful Face!
Miss Teen India Georgia and Miss India Georgia Online Contestant Registration Form
Miss Teen India Georgia 13 to 16 yearsMiss India Georgia 17 to 26 year
First Name: Last Name:
Residency Status: CitizenPermanent ResidentOther (specify)
City: State: Zip:
Phone Day: Phone Evening: Phone Cell:
Age: Date (MM/DD/YY): Birthplace:
Web Site Ex. http://www.MissIndiaGA.com (Optonal):
Height (ex. 5'6): Weight (lbs.): Languages spoken:
Father’s Name: Mother’s Name:
Guardian’s Name (if different from parents):
How did you hear about this pageant: FacebookYouTubeMagazineFlyerPosterOther If Other:
In 2015 have you or will you be participate in any other INDIAN pageant (Type Yes or No):
If yes, please name the pageant:
Your Occupation: Your Education:
Hobbies and Interests:
What is your purpose for participating in this pageant?
Talent Information for Miss Teen India Georgia℠ & Miss India Georgia℠ Due by August 23rd, 2015:
YOU WILL BE ALLOWED A MAXIMUM OF THREE MINUTES TO PERFORM YOUR TALENT. THERE ARE ABSOLUTELY NO EXCEPTIONS TO THIS RULE. POINTS WILL BE DEDUCTED FOR GOING OVER THE LIMIT.
Describe the talent you will be performing. Please be specific:
Special Requirements:MicrophonePodiumOther (Please describe)
I will be performing my talent to recorded music. (Please provide two copies of the recorded music with your name clearly written on them by August 23rd, 2015. These CDs will become the property of Miss India Georgia. MAKE SURE YOUR MUSIC IS NO LONGER THAN THREE MINUTES.
List any allergies we should be aware of:
Please list any and all handicaps that apply to you:
Your physician’s name: Phone #:
Name of Health Insurance: Policy #:
1. Name: Relationship: Phone:
2. Name: Relationship: Phone:
3. Name: Relationship: Phone:
Any information that was not captured in the application may be stated here: (Please use additional paper if necessary)
Pictures you submit do not have to be professionally taken
Upload Your Picture (Head Shot) (Max 3MB - File Type (PDF, JPG, GIF, BMP or PNG)):
Upload Your Picture (Full Length) (Max 3MB - File Type (PDF, JPG, GIF, BMP or PNG)):
Upload Proof of Residency (Max 3MB - File Type (PDF, JPG, GIF, BMP or PNG)):
I have read and agree to follow the 2015 Rules and Regulations for the pageant I wish to enter. I also certify that the information presented in this form is correct and any incorrect information may be the ground for my disqualification before and/or after the pageant. I also understand that the iLink Professionals reserves all rights pertaining to this contest and decision by Miss India Georgia pageant staff is final.
Print your Name (Contestant’s signature): Date (MM/DD/YY):
Print Guardian’s Name if under 18 years of age (Will be accepted as a signature):
Please call 678-801-7170 x 3757 if you are having trouble submitting your application. Please make sure you have double checked all the fields before calling.