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+ Contact

First name(s):

Surname:

Bookable from (main location, closest city):

Bookable from (secondary location if available):

E-Mail (private e-mail address):

E-Mail Management (if represented by another agency):

Mobile Number (using country calling code, e.g. for Germany: 0049-176-123456789):

+ Appearance

Height (in cm):

Dress Size (EU size):

Shoes (EU size):

Breast (in cm):

Waist (in cm):

Hips (in cm):

Jeans (Width):

Jeans (Length):

Cup Size (e.g. 75B):

Eye color:

Hair color:

Tattoos and/or Piercings (if so, where?):

+ Talents

Languages:

Sport:

If so, which sports?

Talents (apart from sports like music, acting, ...):

+ Social Media

Instagram (User name):

Youtube (Channel name):

Influencer:

+ Details (only for agency bookers/scouts)

Skin (neat hair not dry, etc.):

Hair:

Hand:

Feet:

Legs:

+ Personal Data

Estimated Graduation Date if still in school
(German date format dd.mm.yyyy, e.g. 01.01.2020):

Date of Birth (German date format dd.mm.yyyy, e.g. 01.01.2000):

Street, Number:

ZIP Code:

City:

Country:

Ethnos / Roots (if you have a multi-national background):

+ Payment

BahnCard (if so, which one?):

IBAN:

BIC:

Subject to turnover tax:

TAX Number:

VAT Number:

+ Personal ID

Nationality:

Country ID (last 4 digits of your passport number):

Valid until (German date format dd.mm.yyyy, e.g. 01.01.2000):

+ Submit now

Stephan M. Czaja
Owner & CEO of COCAINE MODELS
CXMXO Media Alliance