7/22/2019 Fisa Inscriere in Baza de Date Divizia Casting Film Reclame

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DATA:__________________

Nume Prenume:_ ______________ ________

Gen: Feminin Masculin

Data nasterii:____________ _____

Varsta:________ _____

Numar de telefon:_______ __________

Adresa de email:_______________ ____________

Oras de provenienta:__________________ /Oras actual: ___________________

DETALII FII!E:Inaltime:___ _____"#________marime$camasa_ ______ pantalon:_ _______ pantof:________

Dimesiuni: %ust_____ Talie ______ &old______

!uloarea parului:

Saten Brunet Blond Roscat Alta (specificaticare)________________

Lun#imea parului:

Lung Mediu Scurt Chel airst!lespecial____________________

!uloarea oc'ilor:

"egri Caprui #er$i Al%astri

!uloarea pielii:

Cauca$iana Asiatica Africana

&emne particulare (daca este ca$ul:tatua&e/piercing'uri/operatii i$i%ile etc):

________________________________________________ ______

!ATEGO(II DE IN&!(IE(E:

u%lic emisiuni Realit! sho* Figuratie simpla

Figuratie speciala

P(OFE&IONI&TI :

&tudent actorie (student la o facultate de profil) !ascador profesionist

Actor profesionist ( facultate de profil) Alta speciali)are( +iploma/Atestat)___________

7/22/2019 Fisa Inscriere in Baza de Date Divizia Casting Film Reclame

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Lim*i straine:

Lim*a NivelIncepator +ediu Avansat

Permis auto,cate#oria-:

A B C

&tudii:__ _________________________________________________________________________________

Ocupatie actuala:__________________________________________________________________________

Aptitudini$Talente speciale: ,cursuri speciale. autori)atii traducator. performantedeose*ite / toate repre)entative pentru domeniul de castin# film si reclame-

___ ________________________________________________________________________________________

___ ________________________________________________________________________________________

E0PE(IENTA ,e1emple-:

(eclame:_____________________________________________________________________________________

Filme:_____________________________________________________________ __________________________

_____________________________________________________________________________________________

Televi)iune:__________________________________________________________ ________________________

Teatru:______________________________________________________________________________________

_____________________________________________________________________________________________Alta e1perienta relevanta:_____________________________________________ ________________________

O*servatii2:2,se completea)a de catre a#entie-

_____________________________________________________________________________________________

Prin completarea acestui formular sunt de accord ca a#entia sa3mi foloseasca ima#inea.datele. po)ele si inre#istrarile video facute fara o*li#atii din partea a#entiei4 !onfirm catoate informatiile sunt corecte si toate ima#inile ulterior trimise catre a#entie imi apartine1clusiv fara ca vreo alta persoana fi)ica sau 5uridica sa poate pretinde vreun drept deorice fel asupra lor sau a modului in care le folosesc sau a#entia le va folosi4

Nume si prenume________________________

&emnatura______________________________

2Numai pentru minori : &emnatura parinte$ (epre)4 Le#al_________________________________