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Could You Be The Next GLADRAGS MRS. INDIA? Age Limit: 18-50 Years GLADRAGS Ua so Tel: 66628855/8877 E-mail: gladrags@vsni.com Entry Form FIRST NAME SURNAME BIRTH DAY/MONTH/ YEAR ___ BIRTH CITY/STATE/COUNTAY HOME PHONE MOBILE EMAL. FAX oF AM) YOUR OCCUPATION. ‘YEARS OF MARRIAGE PASSPORT NO PLACE OF ISSUE EXPIRY DATE INO. OF CHILDREN WITH AGES HUSBAND'S NAME OCCUPATION OFFICE TEL: MOBILE. E-mal/FAX FATHER'S AND MOTHER'S FULL NAME AND ADDRESS FATHER'S OCCUPATION ________ MoTHER's OCCUPATION PERMANENT HOME ADDRESS OF PARENTS. omy STATE. ZP. YOUR PRESENT ADORESS cry. STATE, ze YOUR EDUCATIONAL QUALIFICATIONS HEIGHT (FEET INCHES) WEIGHT HOBBIES. LIST DETAILS IF YOU HAVE DONE ANY OF THE FOLLOWING: MODELLING/RAMP/AD'S/TV SERIALS/FILMS/ITEM NOJANY CONTEST ENTERED, ANY CONTEST WON. LIST ANY CONTRACT’S YOU ARE UNDER WITH PROOF OF DATES, YEARS AND OTHER DETAILS ate CONTESTANT'S SIGNATURE. Allentry forms must be sent along with 2 casual colour photographs of yourself(1 close-up+1 full length). Portfolio pictures not neccesary. Send only if you have them. (Photographs submitted cannet be returned’) Acopy of your marriage certificate or other legal proof of marriage is required (If any of the above information you have given is found to be false you will be disqualified) Mail entries to Gladrags Mrs India contest, C-1, Wadia International Center (Bombay Dyeing), Pandurang Sudhkar Marg, Worl, Mumbai 400025, Maharashtra, Ingia Tel: 6662 8855/8877 E-mail: gladrags@vsni.com Fax: 2430 2385 Web: wwwigladragsin

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