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Registration

AUDITIONS CITY

PREFIX

FULL NAME

Email ID

DATE OF BIRTH (DD/MM/YYYY)

AGE (Year/Month)

PROFESSION

Student

Service

Business

PHOTOGRAPH

ADDRESS

PHONE (Resi.)

PHONE (Other)

NAME & ADDRESS of School/College/Office

GAURDIAN NAME

PLACE

DATE

ADDITIONAL INFORMATION

DECLARATION

I hereby declare that the details furnished above are true and correct to the best of my knowledge.

For More details

C-7/188, Safdarjung Development Area, New Delhi-110016
Ph.: 011-26967388
Email: surtarang.auditions@gmail.com

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