Registration Form for a Reality Show

Full name of participant (As in your Govt. id)*

Participant Date of Birth.*

Marital Status.*
MarriedUnmarriedDivorcedWidowedSeparatedSingle

Names of immediate family, including spouse (if married).*

⁠Is your family aware of your participation in this program and have consented to your participation?.*
YesNo

Pregnancy stage and due date*
First Trimester (Weeks 1-13)Second Trimester (Weeks 14-26)Third Trimester (Weeks 27-40+)

Is this your first pregnancy?*
YesNo

If you are a parent already, how many kids do you have?.*

Enter your personal contact number and two emergency contacts.*

Enter your instagram handle, and other handles.*

Attached high-resolution photographs of the participant and family members (Max number of pictures 5).*
 

Upload a high-resolution video of the participant introducing herself and talking about why she is the perfect choice for the reality show (Keep it crisp and entertaining).*

OR
Please Submit Your Introduction Video Link Here

If selected, can participant + family travel to Mumbai?.*
YesNo

Please print, physically fill, sign, and upload the following Release Form. (Click on the PDF to start the download.)

Please upload your physically filled and signed form here.