C'La Local Marketing Agency – Talent Registration

1. Personal Information

Full Name (as per ID) Preferred Name ID / Passport Number Date of Birth Gender (Optional) Nationality

2. Contact Details

Mobile Number Alternative Number (Optional) Email Address Residential Area / City Province

3. Role Application

4. Experience & Skills

Years of Experience (if any) Previous Brands / Agencies Worked With Key Skills Languages Spoken

5. Availability

Weekdays Weekends Public Holidays

Preferred Working Hours Willing to Travel for Activations Yes No

6. Appearance & Uniform Information

Height (cm) Dress Size (if applicable) Shoe Size Visible Tattoos Yes No If yes, please specify location

7. Compliance & Documentation

Certified ID / Passport Choose file No file chosen Proof of Banking Details Choose file No file chosen SARS Tax Number (if available) Updated CV (Optional) Choose file No file chosen Professional Headshot / Full-Length Photo Choose file No file chosen

8. Health & Legal Declaration

Do you have any medical conditions we should be aware of? Yes No If yes, please specify Valid liquor handling certificate? (Bartenders)

9. Emergency Contact

Full Name Relationship Contact Number

10. Consent & Declaration

I hereby confirm that the information provided is true and correct. I consent to C'La Local Marketing Agency storing and processing my personal information for recruitment, booking, and operational purposes in line with POPIA regulations.

Full Name Signature (type full name) Date