FORM I

FORM 1
Form of application for certification for public exhibition of a film produced in India.

(See sub-rule 1 of rule 21)

No. and date of application (to be entered by Board’s office)

To

The Central Board of Film Certification through the Regional Officer at ............................

Application for certification for public exhibition of a film produced in India at.

    1. Name of the film
    2. Language of the film
    3. Length of the film in ft ............................................... meter
    4. Number of reels
    5. Gauge of the film
    6. Type of the film i.e. whether it is 2-D, 3-D, cinemascope, vistavision etc.
    7. Whether the film is silent or a talkie
    8. Colour of the film
    9. Name and address of the producer
    10. Name of the director
  • State whether the film is a newsreel/documentary/scientific/educational/ feature/advertisement film.
    2.A Specify the certificate requested ‘U’ ‘UA’ ‘A’ or ‘S’
  • State separately the number of negative and positive prints of the film.
    1. produced(negative ....................................................................................................

      positive ....................................................................................................................)

    2. in the applicant’s possession (negative .....................................................................

      Positive ....................................................................................................................)

    3. Name and address of the processing laboratory.
    1. Whether the present film is a dubbed version or a remake of any other film? If so, state the particulars alongwith full details of certificates issued to that film.
    2. Whether any pre-censorship advice was obtained and if so the details thereof.
    3. Whether permission for any shooting abroad was obtained and, if so, the details thereof.
    4. Whether the film contains any dialogue/commentary in any language other than the language of the film and, if so specify the language and the reels in which they occur.
  • Has any pervious application been made to certify this film as suitable for public exhibition in India? If so,
    1. Where and to whom was it made
    2. What was the result of the application
      1. * A ‘U’/’UA’/An ‘A’/’S’ certificate No.....................dated was granted
        subject to the following cuts .....................
      2. * Certificate was refused.
  • Has the exhibition of this film been at any time suspended or the film declared uncertified by the Central or any State Government? State particulars”
  • Does the film contain any dialogue, song, poem, speech or commentary in anylanguage other than English or an Indian language?

    If so, specify that reel or reels in which the dialogue, song, poem speech or commentary occurs and, the language or language used.

  • Amount of fee accompanying the application of account of the fee prescribed in Rule 36.

    8 (A) [ Whether any animal has been used in shooting of the film? If so, whether declaration specified in clause (bb) of sub-rule (3) of rule 21 has been filled?]1

      Vide
    1. Receipt No. .............................. dated ..............................................................
    2. Bank draft No. ......................... dated .............. on ................................ Bank.
    3. Postal Order No. ...................... dated ........... on .................... Post Office
  • Name, address and telephone number, if any of the applicant Telephone No :
  • I declare that the print of the film is ready for examination by the Board and the
    statements recorded above are true in every particular.
  • Date...................

    Signature of applicant

    * Score out the word or words which are not applicable.

    1. Inserted as per notification dated 12.11.97.