Registration – Banglar Sera Tilottama

Eligibility Criteria

Registration Fee

Rs. 3000

Age

15 to 60 years

Height

5'0 feet & above

Weight

No bar

Marital Status

Married / Separated / Single Parent / Divorced / Widow

Language

Any (English, Hindi, Punjabi, Bengali, Marathi etc)

Personal Information

First Name *

Last Name *

Age *

Martial Status

Contact Details

Phone

Email *

Communication Address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Physical Attributes

Dropdown

Weight *

Vital Stats (in inches)

Bust

Waist

Hips

Audition Location

Location

Upload Photos

Photo 1 *

Drop your file here or click here to upload

Photo 2 *