Registration Form

Bank Details

Federal Bank

Thiruvanathapuram Statue Branch

Account No. 10300200057562

IFS Code: FDRL0001030

Swift Code: FDRLINBBIBD

Registration Required for

Name of the Title (Including Full Script, Story/One line)

Language

If any other language, please mention the language

Name of the Writer (In the case of Title – Film or TV, please mention Not Applicable)

Full name of the person registering the title
(Registration for Script, Story and One line should be by the Writer only)

Who is registering the title?

Name of Photo identity

No. of Registration Certificate (In the case of individual please mention Not Applicable)

Upload the Registration Certificate (In the case of an individual, upload an additional photo identity)

If registering party is a firm, company, organization or NPO please mention the name. If it is an individual and not a proprietorship firm, please mention Not Applicable.

Designation of the person applying for registration
(Applicable to all other than an individual)

Full Address with Pin Code

Mobile No.

Whatsapp No.

Email

Brief summary or explanation of the title, script, story or one line story (Not exceeding 100 words)

Pan Card Number

Upload Pan Card

Upload photo of the applicant

Are you a member of MFTC?

If yes, please mention the membership number

If not a member, please remit Rs. 500 for story title or story or one line of story and Rs. 1,000 for full script towards registration fees and mention mode of payment

Payment Reference No.

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