Film Industry Welfare Trusts

ACTOR PREPARES

Attach recent
passport size

The School For Actors

photograph.

Part Time Certificate Course

Month: _________________
Application #: _______________
NAME (IN FULL BLOCK LETTERS)
Mr./ Mrs./ Ms.

Important note: The name mentioned above will be printed on your Certificate.

Age:

Sex:

Male

Female

ADDRESS:

Email:
Tel. Home:

Mobile:

Please mention previous experience in the field of acting

Preference
(Please tick)
Amt & mode

Acting + Voice & Speech

Dance

How did you hear about Actor Prepares? (Tick whichever applicable)
Friends & Relatives

Actor Prepares Web page

Media/Editorial/Ad

Promotional Sms/Email
___________________________
Signature

Date: ___________________

Actor Prepares, 1st Floor, Film Industry Welfare Trust House, next to Ajivasan hall, Near SNDT Womens
College, Juhu Road, Santacruz [W], Mumbai 400 049
www.actorprepares.net