राज्य आरोग्य शिक्षण व संपर्क विभाग, पुणे
Supported By
ABOUT FILM Title of the Film (Original)
Title of the Film in English
Submission Type (Documentary/TV Spot)
Original Language
Duration (In Minutes/Seconds)
Director’s Name
Procedure’s Name
Year of Production
Country of Origin
Synopsis of the film(upto 300 words)
CONTACT DETAILS
Full Name
Address
City
State
Country
Contact Number
Your email
BANK DETAILS
Name of the Account Holder
Account Number
IFSC Number
Passport Size Photo of the Director
Poster of the Film
Still Photo taken during Making of Film
Duly Signed NOC copy
