Tony's Company GAIJIN BUTAI

ENTRY FORM

LAST NAME*
GIVEN NAME*
In Japanese
(TAKAKANA)
NATIONALITY*
SEX* MALE FEMALE
D.O.B.(DD/MM/YY)*
OCCUPATION
ADRESS(HOME)*
E-MAIL*
TEL*
PARMANET ADRESS
(in case of emergency)

TEL,FAX or E-MAIL:
PASSPORT NO.
VISA STATUS*
MARRIGE
STATUS
TOTAL YESR
OF STAY*
BLOOD TYPE
SIZE Hight cm / Weight kg
B cm / W cm / H cm
Foot cm
QUALIFICATION
LANGUAGE*
HOBBY
SPECIALITY
STRENGTH
WEAK POINT
SELLING POINT*
what would you like to do on TV or at Event?
What kind of TV proglams or Events would you like to be in or to act?
Have you tried anuthing related to TV or Events before?
If yes, what keind if? And how long?
Coments
PLEASE ATTACH YOUR PHOTOS !