Professional Documents
Culture Documents
Staple recent
passport size
photograph.
1st Floor, Film Industry Welfare Trust House, next to Ajivasan hall
Near SNDT Womens College, Juhu Road, Santacruz [W]
Mumbai 400 049
e-mail: info@actorprepares.net
Phone: 2660 6180 /2660 5659/652 61232 Toll Free: 1800 209 1231
Please fill in this form in neat handwriting / or type, complete in all respects.
Please be precise & factual. Send in the form to above mentioned address
with a Demand Draft / Pay order of Rs. 250/- payable at MUMBAI, in favour
of FILM INDUSTRY WELFARE TRUSTS ACTOR PREPARES.
___________________________________________________
PERSONAL INFORMATION
NAME (IN FULL BLOCK LETTERS)
Mr./ Mrs./ Ms.
Important note: The name mentioned above will be printed on your Diploma.
PRESENT ADDRESS:
City:
Pin Code:
State:
Country:
Email:
Tel. Home:
Mobile:
PERMANENT ADDRESS:
City:
Pin Code:
State:
Country:
Film Industry Welfare Trusts Actor Prepares, 1st Floor, Film Industry Welfare Trust House, next to Ajivasan
hall, Near SNDT Womens College, Juhu Road, Santacruz [W], Mumbai 400 049
www.actorprepares.net
Fathers Name:
Mothers Name:
DATE OF BIRTH:
Day:
Month:
Year:
Height:
Age:
Weight:
MARITAL STATUS:
Married
(tick whichever applicable)
Unmarried
No. of children
Tel. Home:
Business:
Mobile:
EDUCATION:
Higher Secondary
Graduate
Post Graduate
Board/University:
Percentage of
Marks obtained:
Principal
Subjects:
[Minimum requirement is 10+2. This requirement could however be relaxed for exceptionally
talented actors.]
Film Industry Welfare Trusts Actor Prepares, 1st Floor, Film Industry Welfare Trust House, next to Ajivasan
hall, Near SNDT Womens College, Juhu Road, Santacruz [W], Mumbai 400 049
www.actorprepares.net
EMPLOYMENT HISTORY:
What is your current occupation?
(tick whichever applicable)
Studying
Employed
In case employed, then please give details of your most recent employment:
Date of Employment:
Employers Name & Address:
Position
Held:
Duration:
No
Film Industry Welfare Trusts Actor Prepares, 1st Floor, Film Industry Welfare Trust House, next to Ajivasan
hall, Near SNDT Womens College, Juhu Road, Santacruz [W], Mumbai 400 049
www.actorprepares.net
ADDITIONAL INFORMATION
Explain briefly why you want a career in Theatre, Film or Television and your plans after
training:
Film Industry Welfare Trusts Actor Prepares, 1st Floor, Film Industry Welfare Trust House, next to Ajivasan
hall, Near SNDT Womens College, Juhu Road, Santacruz [W], Mumbai 400 049
www.actorprepares.net
KNOWLEDGE OF LANGUAGES:
Mother tongue:
Languages spoken:
Languages read:
[Note: Medium of teaching will be Hindi and English]
Are you a citizen of India? Yes
(Tick whichever applicable)
No
Passport Details
Passport #:
D.O.I.:
D.O.E.:
SIGNATURE: ________________________
PLACE:
DATE:
Course start date and year
you wish to apply for:
Film Industry Welfare Trusts Actor Prepares, 1st Floor, Film Industry Welfare Trust House, next to Ajivasan
hall, Near SNDT Womens College, Juhu Road, Santacruz [W], Mumbai 400 049
www.actorprepares.net