Date of Birth*
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Age*
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Address
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Please note ( There will be only one representative from the UTs marked as (UT) in the drop down)
Birth State/UT
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In order of preference of your audition state
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Current State/UT
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In order of preference of your audition state
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Native State (Parents Birth State)/UT
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In order of preference of your audition state
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Physical Attributes
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Instagram Profile*
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