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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...

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