Tuning Fork Film Workshop

Registration Form
17th 24th June 2012
Full Name of Participant: Age: Phone: Full Postal Address: Email ID: College/Institution/Organisation/Company: Which workshop would you like to register for, (type YES for both if you want to register for both) 17-19th June (FILM APPRECIATION): _______ 19th 24th June (FILM MAKING): _______ A bit about yourself: How did you find out about this workshop (please be specific): For Film-making workshop participants, Please mention if you are getting a handycam/video camera along or a laptop (Mac or Windows). We would encourage that if participants have a video camera/laptop, to please bring it along, however it is NOT MANDATORY to carry the same: Payment Details Registration Fee: Rs.500* Mode of Payment: Cheque / Demand Draft/Electronic Remittance**:
(The Cheque/Draft must be payable at New Delhi to "Tuning Fork Films")

Sex:

Details of Cheque / Demand Draft/ Electronic Remittance:

(Name and Branch of the Bank, & Cheque or Demand Draft Number)

Signature:

Date:

*Please fill in this registration form and send to the following postal address, along with the cheque/draft of Rs.500 payable to Tuning Fork Films by registered/speed post/courier. This registration amount is a non-refundable advance. It will be deducted from the total fee of the workshop. Ankit Pogula, D-59, Defence Colony, New Delhi 110024 ** The fee may be remitted electronically to the Punjab National Bank account of Tuning Fork Films, Account Number: 3978005500000216, PNB, Defence Colony New Delhi. Please email us the registration form and details of the remittance immediately at ankitpogula@gmail.com & tuningforkfilms@gmail.com