Student Glamour Awards

Application form

Personal information

First Name*

Last Name*

Name to appear on website (if different) [i.e. if you model under a pseudonym or stage name, e.g. Katie Price = Jordan]

Date of Birth* (must be aged 18 or over as of 1st September 2010) / /

Mobile number* (mandatory to confirm identity)

E-Mail Address*

Course details

University or college

Course

Vital statistics

Bust & Bra size (e.g. 34D)

Waist (in)

Hips (in)

Height (cm)

Weight (kg)

Eye colour

Hair colour

Submit your photographs (3)

Face

Full body

Photo of your choice

Further information

Why should people vote for you? (in 50 words or less):

I have read and agree to the terms and conditions of the Student Glamour Awards*

Please note: Fields denoted with a * are compulsory.

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Student Glamour Awards, 16 Northfields Prospect Business Centre, Northfields, London, SW18 1PE. Tel: 07903 957283