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Health Now Modeling Form
Health Now is a first of its kind health magazine of haryana. It is a Robust Health Mangement Pvt. Ltd. Publication which caters to the school health programs of many schools like Bal Vikas, Bal Vikas Progressive, Arya Bal Bharti, DPS Refinery etc. We are looking forward to the fresh, confident and healthy faces for the health magazine. You can fill in the following form for yourself or your dear ones only if you are legally permitted to upload their pics. By filling in this form you are accepting the publishing of the uploaded pic without any royalty.
Name of the applicant
First
Last
Your relation to applicant?
Self
Father
Mother
Sibling
Friend
Others
Your Valid Email
Confirm email
Mobile no.
Alternate contact no.
Profile
Infant
Pre Schooler
Student
Serviceperson
Businessman
Housemaker
Unemployed
Other
Attach Your Profile Photo
Age
(in Years as on 31stJuly 2013)
How did you get to know about this modeling program?
Internet
School/College
Friends
Others
Unique ID
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