BALMUDRA
Shrikrishna Paranjpe ( Photo Journalist) Phone No: 020 - 44644494 (R) Mobile No: - 9822284771 Residential Address “Parvati Villa” Apts, Flat No. 2 IInd floor, ‘B Wing, Near Anpat Hospital Opp. Datta Mandir, Pune - 411009
Children Photography Registration Form
Name of the Child
:
Pet Name
Address
Email
Phone
Mobile No.
Date of Birth
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Age
1 2 3 4 5 Above 5
Height
Colour of Hair
Black Brown
Colour of Eyes
Black Brown Blue
Hobbies
Interested in
Serials
Movies
Fashion Shows
Ad Films
Stills
Character Modelling
News Papers / Magazines
Others
Any More Details if you wish to mention
Suitable day for the Shoot
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date of Registration
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010
Exhibition Package (5 years and under only)
YES NO
Personal Package (No age limit)
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