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

  Photography Registration Form

Full Name of
the Child

:

Address

:

Email

:

Phone

:
 

Mobile

:

Mobile ( Father )
 

Mobile ( Mother )

Date of Birth

:

Age

:

Height

:

 

 

 

Colour of Hair

:

Colour of Eyes  

:

Hobbies

:

 

 

 
 

Any More Details
if you wish to mention

:

Suitable day for the Shoot

:

Date of Registration

:

Exhibition Package
( under 5 years only )		 :
YES NO
Personal Package (No age limit) :
YES NO
Passport  Ready

 :
YES NO