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eae) POT CU eed Chennai Film Industrial School CHENNAL See eeeeseeeeeeeeeee sees eee (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

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