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MORELLI MODELING AGENCY APPLICATION FORM FOR MODELING (Please read notes on this reverse before completing the form) 1. Surname: ………………………………………………………………………………….. 2. Other Names:….………………………………………………………………................... 3. Sex: ………………………………………. Date of Birth: .………...…………………... 4. Occupation: …...…………………………………………………………………………... 5. Address: ………................................................... Tel. No: ……………………….……… 6. Email Address: ……………………………………………………………………………. 7. Reason for being a model: ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… 8. Which kind of modeling is your choice? ……………………………………………………………………………………………… 9. Do you have a personal designer? Yes No 10. If yes, indicate the details; Names: …………………………………………………………………………………….. Address: …………………………….......... Tel. No: …………………………………….

Recommender: I certify that the applicant is personally known to me and to the best of my knowledge and belief; the facts stated on this form are correct. Full names: ………………………………………………………………………………………… Profession: ………………………………………… Address: …………………………………… Phone: ……………………………………………. Signature: ……………………………………

I promise to agree with the terms and conditions at Moreli Modeling Agency Names: …………………………………………… Signature: ……………………………

Moreli Modelling Agency, MM Pub Kabuusu, Rubaga Tel: +256 705143560 Email:morelimodels@gmail.com Like our facebook page: Moreli Modeling Agency Follow us on Twitter: @morelimodels


Morelli modelling agency application form