APPLICATION FORM
Form Must be filled with Capital Letters &
an incomplete form will not be entertained.
Affix a Passport size
Photograph here
The Event Co-ordinator and enclose
‘one full length
Alee Club (Regd.)
post card size
E- 3/4, Sector-7 eae
Rohini,
Delhi- 1100085
# 098 1112 6746, 011 2704 4700
| apply for the participation in Alee Club 22nd Miss & Mr. Teen India 2019, an IQ and personality contest,
in the awareness of HIV/AIDS, for that Hereunder | am sending you a brief of myself/my ward along with the
required registration fee of Rs. 9001- (Nine Hunckead Rupees nly )by way of 8 Peytm.
Transactions ID... ... of Demand Draft / Cheque No ....
Dated in favour of Alse Club Payable at New Delhi
i) .. (MOB).
(2)
(3)
Pin Code PhAR):
(4) Name of School/ College:
(5) Father's Nam«
(6) Father's Occupation (Give Details)
(7) Mother's Name
(8) Mother's Occupation (Give Details) :
(9) Height :. . (11) Weight :
(13) Ifyou get an opportunity to enter into media, which medium you give preference. (Just Tick One)
|STILLMODELING T.V/SERIALS MovIES RAMP MODELING
Explain why?. pice
(14) How did you come to know about this contest (Just Tick One) through:
PRINTAD FACE BOOK NEWS CHANNEL FM CHANNEL
(15) Have you ever participated in Cultural Activities or any kind of events ? Explain :-
(16) Why do you wantto participate in Miss & Mr Teen India an!.Qand Personality Contest?
(17) Preffered City of Auditions:
C betH! (] mumBal [J CHANDIGARH [] CHENNAI [[] BENGALURU [[] KOLKATTA
| certify that the information furnished above is correct to the best of my knowledge and I have carefully
read the information.
Signature of the Guardian Signature of the Candidate
Dated
Name and relationship of the Guardian...