Academy Of Fine Arts

1. Name of Group Theatre

2. Address of Group Theatre

3. Telephone No(s) of Group Office

4. STD Code for Outstation Groups

5. Fax No (if any)

6. E-mail Address

7. Date and Year(1st appearence at the Academy)

8. Group Registration No

9. Name Address and Telephone Nos,of Group secretary / Director

Address is that of

Office

Residence

Telephone No.office

Telephone No. Residence

Mobile No

10.Commercial

Yes

No

Show

Shift Time
Morning: Matinee: Evening:

Time

Mic

Apply Date and Other Details

11. Do You Have Photocopy of letter isssued by Dept. of information and Culture Govt. of West Bengal ?

Yes No

Name

Designation

I accept that I have read and understood the rules and regulations of the management of Academy and I agree with them

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