AF Membership Form

Technicians' Studio, Administrative Building, 4th Floor

4, Baburam Ghosh Road, Tollygunge, Kolkata - 700040

Phone : 8274000097, 033 24214394 | Email : wbmpaf@gmail.com

Website : www.wbmpaf.com

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Minimum age of Applicant should be 18 Years or Above

Full Name *

Father's / Mother's Name*

Permanent Address*

Temporary Address

Primary Contact No. *

Secondary Contact No.

Whatsapp No.*

Email Id*

Gender*

Date of Birth*

Blood Group

Qualification*

EXPERIENCE IN ACTING
TV / FILM / OTT
OTHER MEDIA

1. Upload Portfolio Photo (Max 10MB)*

2. Upload Copy of PAN Card (Max 10MB)*

3. Upload Copy of Aadhaar Card (Max 10MB)*

4. Upload Monologue (Max 200MB)*

I would like to become a member of the West Bengal Motion Picture Artists' Forum and hereby agree to abide by its rules and regulations. I understand that the Forum has been formed primarily to safeguard the interest of all actors and actress who would be its members.
I also understand that my membership may be cancelled upon any misconduct, irregular attendance in Forum's meeting or any such act for which the decision of the Forum will hold me responsible.
I will pay the requisite membership amount as finalized by WBMPAF on confirmation of my candidature.

I do hereby declare the above mentioned information is true and correct to the best of my knowledge.

I have read and understood the contents of this form.

I accept the Terms and Condition.