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First Name**:
Surname**:
Email**:
Address (incl. Suburb)**:
Phone**:
Mobile**:
D.O.B**:
Height (cm)**:
Waist (cm)**:
Bust (cm)**:
Hips (cm)**:
Eye Colour:
Blue
Brown
Green
Hazel
Hair Colour:
Blonde
Brunette
Black
Red/Auburn
Brown with Blonde Highlights
Hair Length:
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Short
Medium
Long
Very Long
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Shoe Size**:
Dress Size**:
Dance Experience?:
Yes
No
List Dance Exp.**:
Modelling Experience?:
Yes
No
List Modelling Exp.**:
Promo Experience?:
Yes
No
List Promo Exp.**:
Why do you want to be a Diva?**:
How did you hear about us?**:
Do you have a licence and car access?**:
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