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POT CU eed
Chennai Film Industrial School
CHENNAL
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(Approved by the Directorate of Employment and Training, Government of Tamil Nadu) SoM
4/16, First Cross Street, 9th Main Road, Swaminathan Nagar, Kottivakkam, Chennai - 600 041.
Dial : +91-44-65181182, +91-98414 37101, E-mail : mail@chennaifilmschool.org. Web : www.chennaifilmschool.org
Appin. No: C ‘APPLICATION FORM ») Reg. No
Candidate Name: Date of Birth:
Parent /Guardian Name : Occupation:
‘tc your Phot ere
Community: }S¢ (ST C]MBC [}ec [] | Sex: [Male] Female
Other
Specify Name of community: Nationality :
Address for Communication : Permanent Address :
Telephone: Mobi E-mail =
Conary
ck Your Spacalzaion inthe Corec place
(Cinematography editing
(Visual Media (Sound
Erreur
Education Year of ‘School College/Certfcate/Diploma
Passing
SEaenes
From (month, year) ‘To{month, year) | Name of the Employer / Job title
Please note that you have any Experience in Photography / Videography /Art/ Music /Drama// Press / Others
1,
2
3
4
5
Please send the flowing with your application Tr posslle please bring the Tolowing forthe Interview
1. Wete a etique a tlm youve seen recent 4. Abunch of photographs tat you have taken
2. Twe passpor size protographs 2. AVHS/ CD DVD eopy a Fetion or dacuentry tim
5. An administration fee of Re 200 should Be sendin the form of OD you nave st.
‘rau in favor of The Principal, CFIS, Chennal ~ 600 04 BA Proje! youhave done that relets your interest in fim making
‘A person you snow from Fim Photo Television dusty ~Relatve tend name & email
Which tm societies or arganzations do you belong 1?
ow ai you hear about Gnennal Fm Indusal Sehool?
T eerily tote bos of my knowidge that the particulars Tuished nthe orm ae corel Tagrae To abise bythe aes ard reuatins of he sehoa)
pare: SIGNATURE