BLOCKBUSTER TALENT AGENCY
ONLINE REGISTRATION REQUEST
PERSONAL DETAILS
Name
*
First Name
Middle Name/Nickname
Last Name
Gender
*
Please Select
Male
Female
Trans-Male
Trans-Female
Non-Binary
DATE OF BIRTH
*
/
Month
/
Day
Year
Date
AGE
*
Race / Ethnicity
*
Please Select
Caucasian
Black
Asian
Indian
Coloured
ID NUMBER
*
WHATSAPP NUMBER
*
CELL NUMBER
*
EMERGENCY CONTACT NUMBER
*
EMERGENCY PERSON NAME.
*
EG : Brother/Sister/ Parent / Wife/Husband etc
EMERGENCY PERSON RELATIONSHIP TO YOU
*
Email
*
example@example.com
TAX NUMBER
*
If you dont have one, Please state here, and Chris can get you one (or find one you have but cant find) For a cost of R50 CASH ON DAY
Eye Colour
*
Hair Colour
*
Medical Conditions
*
Do you suffer from anything or have to take medication for anything
BANKING DETAILS
Account Type
*
Please Select
Current
Savings
Bank
*
Eg, Nedbank, Standbank, Absa, FNB etc
Account Number
*
ADDRESS
Complex / Unit Number
*
Complex / House Name
*
Street Number / House Number
*
Street Name / Farm
*
Subburb
*
Postal Code
*
LANGUAGES & SKILLS
Languages (Speak/Write)
*
Skills
*
eg, Horse-riding, Swimming, Stunts, What Type of Sports
OTHER
Full Nudity (Men and Woman)
*
Please Select
Yes
No
Shirtless Scenes (Men)
*
Please Select
Yes
No
Topless Scenes (Ladies)
*
Please Select
Yes
No
COVID VACCINATION....
Pfizer (One Jab)
Pfizer (Both Jabs)
J & J
I haven't been Vaccinated and Dont want to
Not Vaccinated Yet
Are you Signed with Any Other Agency? (If Yes please List - this is just for our Reference)
Please Upload a Copy of your ID/Birth Cert / Passport (No Drivers License)
Browse Files
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Choose a file
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of
Upload a Recent Selfie
Please upload a Full Body Photograph.
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Once you submitted Please Join the Whatsapp group which will pop up after you submit, as soon as we have a date for the next casting we will post a date and time to come to the office in that group, This is very important as you will not be fully registered until you have come into the office to complete your registration. If you miss your appointment or don't make an appointment, your application will be removed and you will have to re-apply.
Height
Neck
Chest
Waist
Shoe
Dress
Bra
Submit
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