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Participant’s Signature
Registration Form
REF NO:
Applying City: MUMBAI
1. Name: Kalyani Suryakant Patil
(First) (Middle) (Last)
Paste Here
Passport size
Photo
2. Date of Birth: 01 /11 /_ 1989
(The applicant should be between 18-25 years of age as on 31st March 2014)
3. Parent’s Name: Suryakant Bajirao Patil
4. Address: Samata Co-op housing society,
A wing, room 503, G. D. Ambekar rd, Parel Village.
City Mumbai State: Mahrashtra
Pin code: 400037
5. e-mail id: kalyani.patil0103@gmail.com
6. Mobile No: 9022813802 / 9821466168
7. Landline (with STD code):
8. Educational qualification: : Pursuing MBA(IT)
9. Marital Status: Single
10. Profession: Working in IT sector
11. Sex: Female
12. Physical Attributes:
Height: 5.6 ft (Feet/Inches) Weight: 50 (Kilograms)
13. VITAL STATISTICS (IN INCHES)
Chest/Bust 33 Waist 28 Hips 36
14. Extra Curricular Activities/Hobbies/other interests:
1. Dance form known- Bharatnatyam, Bollywood.
2. shooted Advertisement for Jasmina construction pvt ltd
://www.youtube.com/watch?v=Qe9YX4QgVqc&feature=youtube_gdata_player
3. Did print shoot for ‘Publicis Capital’ company for one of the health care product in may 2014.

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Participant’s Signature
15. What’s your aim in Life?
I want to be a super model and a super star. I am working hard to achieve my aim of life.
16. Why do you want to participate in this competition (Up to 100 words)
I want to be a super model and this MODEL HUNT INDIA is a path which will help me to travel to achieve my aim.
17. Give details of any previous competition you have participated or won
I have won ‘Mr. and Miss YUVA NEXT’ beauty pagent at Mumbai level in December 2013, held by ‘ LOKMAT
‘news paper. Also got Miss FRESH FACE title at state level final of the same. Won prices in college dance
compitions at 2009 and 2010.
Documents Required:
1. Date of Birth Proof
2. Address Proof
3. 2 Passport Size Photos
To Apply -
 Each participant should submit Application form duly filled along with Age, ID Proof &
Address proof (i.e.S.S.L.C marks card or Birth certificate compulsory, college ID, PAN
card, Driving license, voter ID card , adhar card etc..)
 Submission of form has to be given on time if not his or her application is not accepted
 All fees should reach us on/before last date of submission.
 We only accept duly filled applications forms submitted/Post by the candidate.
 The seats are allotted on a first come first basis (limited seats in a batch for quality
training).
 Participants can collect the form from Regional office during the office hrs
 Download the form from url : www.modelhuntindia.com filled and post the
completed forms attached with verification documents Age Proof , Address
Proof and 2 passport size photos along with Xerox of cash Deposited Chalan or
D.D in the favor of “Model Hunt India” for Rs. 1500/- (Rupees One thousand
Five hundred Only) towards Registration –