Artist Management ETC (Pty) Ltd t/a Talent-ETC™ - VAT No 4260255965 - Reg No 2009/012100/07
Social-ETC Information & Booking Form
Personal Information
Surname:
Legal Name:
ID Number:
Stage Name:
Date of Birth:
Day
Month
Year
Income Tax No:
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Passport No:
Mobile Number:
Country of Issue:
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
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Austria
Azerbaijan
Bahamas
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Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
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Brazil
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Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
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Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
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Côte d'Ivoire
Denmark
Djibouti
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Dominican Republic
Ecuador
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Panama
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Virgin Islands, U.S.
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Alternative number
Email
Social Media Handles
Facebook
Twitter
Instagram
Tik Tok
Valid Drivers Licence:
Yes
No
If yes, License Code:
Allergies:
Food Preferences:
Languages
List All Fluent Spoken Languages
List All Special Skills You Have
Social Presence
Last 5 Campaigns Done
(Required)
Client
Rate
Usage / Duration
Add
Remove
1 x Story Rate
1 x Feed Post / Reel rate
Total Number Of Followers On All Platforms
Insights
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Number Of Followers Per Platform
Facebook
Twitter
Instagram
Tik Tok
Sizes
Height
Waist
Pants
Shirt
Dress (if applicable)
Bra Size (if applicable)
Shoe
Address Details
(Complete details to be supplied)
Physical Address:
Postal Address:
Untitled
Select only if same as physical address
Unit Number:
Number:
Complex Name:
Suburb:
Street Number:
City / Town:
Street Name:
Postal Code:
or Farm Name:
Suburb:
City / Town:
Postal Code:
Next Of Kin
(For Emergencies Only)
Name and Surname:
Mobile No:
Relationship:
Work No:
Banking Details
Name of Bank:
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Account Type:
(Required)
Branch Name:
(Required)
Account No:
(Required)
Branch Code:
(Required)
Account Holder:
(Required)
Signature
E-Signature (Type your full legal names)
First
Today's Date
Day
Month
Year
Consent
I hereby agree and confirm that the above information is true and correct.