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Application Form

General Information

Fields, obligatory to fill in are marked *

Gender *
Name *
Surname *
Patronymic
Date birth *
Zip code
Country *
City *
Street
Street number
Apartment
Home tel. (Only numbers without spaces: 8 dialling code and phone number )
Mob tel. * (Only numbers without spaces: 80XXXXXXXXX)
Mob tel. (Only numbers without spaces: 80XXXXXXXXX)
Office tel. (Only numbers without spaces: 8 dialling code and phone number )
E-mail *
WWW
Skype
ICQ
Facebook.com (Name and Surname or address as the site)
Napodiume.ru (Name and Surname or address as the site)
Odnoklassniki.ru (Name and Surname or address as the site)
Vkontakte.ru (Name and Surname or address as the site)
Height * cm/inch
Weight * kg/lbs
Measurement: * bust cm / waist cm / hips cm
Breast sizes: *
Eyes color *
Hair color *
Hair length
Shoes *
Dress size







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