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YOUR NAME

*First Name:

*Last Name:

*Preferred 'Work' Name:

YOUR LOCATION

*City:

YOUR PERSONAL DETAILS

Nationality:

Ethnic Origin:

Complexion/Skin Colour:

Age:

Height:

Current Weight:

Bust(Cup Size)-Waist-Hips:

Available For Travel?:

Available Internationally?:

Hobbies & Interests:

Education:

Other Agencies Approached:

YOUR CONTACT DETAILS

Mobile Number:

Alternative Number:

*Email Address:

YOUR LOCATION

*Suburb:

YOUR PERSONAL DETAILS

Current Hair Colour & Style:

Eye Colour:

Mother Tongue:

Languages Spoken:

Do You Smoke?:

Piercings or Tattoos?:

Passport? (expiry date):

Describe Your Character and Personality:

Previous &/or Current Occupations:

Previous escort work experience:

-: PICTURES OF YOURSELF :-