FILM AND TELEVISION INSTITUTE OF PUNE - 411004

APPLICATION FORM

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Name of the Course :

Basics of Non Linear Editing

( 11th November, 2013 - 22nd November, 2013 )

1.

Name of the Applicant

(in Block Letters)

2.

Address with Phone/ Fax/ E-mail for correspondence :

3.

Address of Organization (if working):

Address with Phone/Fax number :

4.

Age :
Date of Birth :

5.

Educational Qualification :
i)
ii)
iii)
iv)

Gender : Male /Female

Photograph

6.

Professional Course /training attended, if any :

i)
ii)
iii)

7.

Experience in TV / Video Production, if any :

i)
ii)

8.

Experience of the field for which you are apply, if any :

i)
ii)

9.

Equipments/Software on which you have been trained or have worked, if any :

i)
ii)

10.

Brief Sketch of your objective for attending the course

Statement of Purpose (SOP) :

11.

Any other information you would like to give :

12.

Do you have any health problem. If so please state in brief :

Address /phone of person in case of emergency

Date:

(Signature of the Candidate)

Instructions to Candidates :
I) Mention Mobile No. & E-mail IDs for instant communication.
II) Send attested copies of the educational qualification & professional experience
mentioned in the application.
II) Use separate sheet where space for writing is not sufficient.
III) Institute reserves the right for admission in the courses.