MFTC Film Club Application Form

Promotional Code or Reference if available

Name

Complete Residential Address with Pin Code

Gender
-- Please Select --MaleFemaleTransgender

Age

Date of birth (dd/mm/year format)

Mobile No.

Whatsapp No.

Email Id

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 with photograph

Please upload the documents supporting identity and address proof

Educational Background
-- Please Select --S.S.L.C. or belowAbove S.S.L.C.GraduatePost GraduateOthers

Upload straight looking good photograph with light background for Identity Card in jpeg/pdf 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.