Pse fill in desired details below in order to establish Profile 4 Promotion & Placings: (Print Page & Send via E-Mail baprofile@live.co.za).
NAMES: ______________________________________________
SURNAME: ____________________________________________
SHORT/STAGE/NICK NAME: ______________________________
DATE OF BIRTH: ________________________________________
IDENTITY/PASSPORT NO: ________________________________
NO. OF PASSPORTS IN POSSESSION (Pse specify type of Passport, i.e. Marriage, Working, Family:
_____________________________________________________
FAMILY DETAILS: (i.e. Siblings, Parents, Children + Ages) _______
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RESIDENTIAL ADDRESS: _________________________________
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CONTACTING DETAILS: (i.e Tel/E-Mail/Fax/Web)______________
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REFERENCES CONTACT DETAILS: __________________________
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EMPLOYMENT & POSITION: _______________________________
MEDICAL AID: (Y/N) ____________________________________
OWN TRANSPORT: (Y/N) _________________________________
DRIVERS’ LICENSE: (Y/N) ________________________________
DESTINATIONS TRAVELLED: ______________________________
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MODELING/PERFORMING ARTS EXPERIENCE: _________________
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MEASUREMENTS: (HEIGHT/WEIGHT/COLOUR EYES-HAIR/SHOE-BRA-DRESS SIZE):
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SPORT OR OTHER HOBBIES/QUALIFICATIONS/INTERESTS: _______
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PERSONAL/BUSINESS GOALS: ______________________________
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PREFERENCE HOLIDAYING: _______________________________
PREFERENCE WEATHER: __________________________________
LIKES/DISLIKES ABOUT PEOPLE: ___________________________
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SUBSTANCE USAGE/CRIMINAL RECORDS (PSE SPECIFY: _________
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ILLNESSES/OPERATIONS/DISABILITIES: _____________________
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WOULD NUDE PHOTOGRAPHY BE OFFENSIVE TO YOU? __________
ANIMAL LOVER? (PSE SPECIFY SPECIFIC ANIMALS) ____________
BEST SCHOOL/EDUCATIONAL SUBJECT ACHIEVED: _____________
YOUR BEST PERSONA? ____________________________________
DO YOU PARTICIPATE IN WATCHING TV, READING NEWSPAPERS/MAGAZINES/______
LISTENING TO RADIO? (PSE SPECIFY) ________________________
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HAVE U EVER WON ANYTHING? (PSE SPECIFY) _________________
BRIEF BIOGRAPHY OF YOURSELF: ____________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
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Thank you for your interest. Should you have any other requests and/or queries, pse attach
it to this application. An agent will contact you within 1 week.
All payments/deposits/sign-up fees 2 be deposited into following Banking Account:
Nedbank Acc Holders’ Name: C H Du Toit
Branch: Rossettenville
Savings Acc No.: 2001819609
p.p. IDEAL TALENTS