Tuning Fork Film Workshop

9th October 13th October 2013

REGISTRATION FORM

Full Name of Participant: Age: Sex: Phone: Full Postal Address: Email ID: College/Institution/Organisation/Company: A bit about yourself: How did you find out about this workshop: 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.1000* Mode of Payment: Cheque / Demand Draft/Electronic Remittance**:
(The Cheque/Draft must be payable at New Delhi to "Tuning Fork Films")

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.1000 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/cheque dropped 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 tuningforkfilms@gmail.com