Student Membership Application form

Name

Complete address with Pin Code

Gender
-- Please Select --MaleFemaleTransgender

Age

Date of birth (DD/MM/Year format)

Name of the Institution / Academy / Board / University in which you are studying

Full address of the Institution / Academy / Board / University in which you are studying

Course / Programme you are studying

Mention the programme
-- Please Select --RegularDistance Learning

Upload the Student Identity Card in jpeg/pdf format

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

Email Id

Mobile No.

Whatsapp No.

Please give the reference of a person who is not your parent or relative. You may give the name of your teacher, guide or mentor and other details.

Name

Full Address with Pin Code

Relationship with the person

Mobile No.

Whatsapp No.

Email Id

Name of Photo Identity
-- Please Select Photo Identity --Aadhar CardPan CardDriving LicenceElection CardPassport first page and last pageSavings Bank Pass Book front page with photographAny other approved document by MFTC with photograph

Mention the Document No.

Any one document supporting proof of address
-- Please Select Proof of Address --Aadhar CardPassportDriving LicenceElection CardElectricity BillTelephone BillGas BillPassport first page and last pageCredit Card BillSavings Bank Pass Book front page with photograph or last three months Bank StatementAny other approved document by MFTC with photograph

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 --ActingStory writingScript writingStory and Script writingDirectionCinematographyEditingArt DirectionCostume DesigningMake upSound Designing or Sound RecordingSingingMusic Composing and / or Back Ground Music ComposingMusic ArrangerLyricistDubbing ArtistProduction DesignerProduction ManagerProduction ExecutiveLine ProducerStunt ActivitiesPoster DesigningSpecial Effects and / or VFXColour Correction TechnicianCrane OperatorCrane Supporting TechnicianGafferFocus PullerFirst Assistant DirectorAny other technical stream

Do you want any additional category in your Identity Card at an extra cost of 500 per category?

If yes, mention the category/categories. If no, mention Not Applicable

Educational background
-- Please Select --S.S.L.C. or belowAbove S.S.L.C.GraduatePost GraduateDoctorateOthers

Do you have any Professional skills and qualifications?
-- Please Select --YesNo

If yes, please mention your qualification/s, experience and other details

Are you a member of any Film and/or Television Association or Organization?
-- Please Select Yes or No --YesNo

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

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

Mode of Payment
-- Please Select --Bank to Bank (From Federal Bank to Federal Bank) Direct TransferNEFTIMPSUPSGoogle Pay

Payment Reference No.

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