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I, ______________________________ Proprietor/Partner/Director of M/s.

_____________________________________________
Membership Regn.No.___________ do hereby CONSENT to be candidate for the election of the
Executive Committee of Western India Film Producers’ Association for the year ___________ as a
Founder Member/Ordinary/Associate/Life (Ordinary or Associate) Member.
The certificate of classification of the membership by the Executive Committee is attached herewith
alongwith Rs.100/- (Rupees one hundred only) in cash/D.D. No.___________ dated ________
being the nomination fees.

Date:

Signature of the Nominee

I, ______________________________________ Proprietor/Partner/Director of M/s.


_______________________________ Membership Registration No. __________ do
hereby PROPOSE Shri/Smt/Miss/_______________________ Proprietor/Partner/Director of M/s.
_______________________________________________________ Registered
Membership No. __________ as a candidate for the election to the Executive Committee of
Western India Film Producers’ Association for the year
__________.
He/she is the Founder/Ordinary/Associate/Life (Ordinary or Associate) Member.
Date:
Signature of the Proposer
____________________________________________________________________________
I, _______________________________________ Proprietor/Partner/Director of M/s.
_______________________________ Membership Registration No. ______________ do
hereby SECOND the nomination of Shri//Smt/Ms_________________________ Registered
Membership No. _______________ as a candidate for the election to
the Executive Committee of Western India Film Producers’ Association for the year __________.
He/she is the Founder/Ordinary/Associate/Life (Ordinary or Associate) Member.
Date:
Signature of Seconder
______________________________________________________________________________

Received in Western India Film Producers’ Association office on ___________________ at


_______a.m./p.m. ______________.

FOR WESTERN INDIA FILM PRODUCERS' ASSOCIATION

Signature of Receiving Clerk:

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