Membership Application Form

Type of Membership
-- Please Select --1. Producer Membership - ₹ 50,0002. Corporate Membership - ₹ 50,0003. Distributor and Exhibitor Membership - ₹ 50,000

Name

Complete Address with Pin Code

Gender
-- Please Select --MaleFemaleTransgender

Age

Date of birth (dd/mm/year format)

Blood Group
Please SelectA+B+AB+O +A -B -AB -O -Other

Email Id

Mobile No.

Whatsapp No.

Name of Photo Identity
-- Please Select Photo Identity --Aadhar CardPan CardDriving LicencePassportBank Pass Book Front Page with photographAny other approved document by MFTC with photo

Mention the document number

Any one document supporting proof of address
-- Please Select Proof of Address --Aadhar CardPassportDriving LicenceElectricity BillGas BillTelephone BillBank Passbook front page with photograph or last three months bank statementElection CardAny other approved document by MFTC

Please give the details or number of the document

Please upload the documents supporting identity and address proof

Mention the category in which you want membership
-- Please Select the Category --ActingStory writingScript writingStory and Script writingDirectionCinematographyArt DirectionCostume DesigningMake upSound Designing or Sound RecordingSingingMusic Composing and / or Back Ground Music ComposingLyricistDubbing ArtistProduction DesignerProduction ManagerProduction ExecutiveStunt ActivitiesPoster DesigningSpecial Effects or VFXColour CorrectionLine ProducerAny other technical streamProducerDistributorExhibitorStudio Owner and / or facility providerBenefactor

Educational Background
-- Please Select --S.S.L.C. or belowAbove S.S.L.C.GraduatePost GraduateOther/s

Are you a member of any Film and / or Television Association or Organization?
-- Please Select --YesNo

If yes, please give details (If no, please mention Not Applicable)

Upload straight looking good photograph with light back ground for Identity Card in jpeg format

Mode of Payment
-- Please Select Payments --Bank to Bank (Federal Bank to Federal Bank) Direct TransferNEFTIMPSUPIGoogle Pay

Payment Reference No.

I confirm that the above details and information provided by me are true to the best of my knowledge.