FORM -II

Form of application for certification for public exhibition of a film imported into 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 first imported into India at ..................................................

1. 1. Name of the film
   2. Language of the film
   3. Length of the film in ft. _________________ meters

      Length of the film as shown in the CCP and /or import licence.

      Have any cuts been made voluntarily by the applicant and if so give details

   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 & address of the producer
   10. Name of the director
   11. Country in which produced
2. State whether the film is a *newsreel/documentary/scientific/educational/feature/advertisement film.
3. State separately, the number of negative and positive prints of the film.
   
   1. imported by the applicant (negative ____________ positive ____________)
   2. in the applicant’s possession (negative __________ positive ____________)
4. In what other language/languages, if any, has this been produced or dubbed? Where the title is not the same in each language, state the title of each version in which it has been produced or dubbed.
5. Has any previous application been made to certify this film (under its present or any other title) in
   
   1. India :
   2. United State of America :
   3. United Kingdom :
   4. Any other country :

   If so,

   1. Where and to whom was it made?
   2. What was the result of the application i.e.
   1. * A ‘U’/’UA’/ An ‘A’/’S’ certificate No. __________ date _______was granted subject to the following cuts :
   2. * Certificate was refused.
   In the case of film made in the United States of America, state the rating of this film according to
   1. the national groups and (b) the legion of decency.
      

      (a) ____________________________ (b) ______________________________

6. Has exhibition of this film been at any time suspended or the film declared unrestricted by the Central or and State Government? State particulars :
7. Does the film contain any dialogue, song, poem, speech or commentary in any language other than English or any Indian language?

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

8. Amount of fee accompanying the application account of the fee prescribed in rule 36.
   
   1. Receipt No.____________ dated ______________________________
   2. Bank draft No. __________ dated _________ on __________ Bank
   3. Postal order No. __________ dated ________ on ______Post Office.
9. Name, address and telephone number, if any, of the applicant.
   ___________________________________________________________________
   

   ___________________________________________________________________

10. 1. Name, address and telephone number, if any of the importer of the film ______
    2. Number and date of the import licence ________________________________
    3. Date of clearance through the customs _________________________________
11. Has the film been produced by or in collaboration with South African or Rhodesian national wholly or part in South Africa, South West Africa or Rhodesia or is the film owned wholly, or in part, by South African or Rhodesian nationals? If so, give details.

    [11. (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

12. I declare that the print of the film is ready for examination by the Board and that the statements above recorded are true in every particular.

Date :

Signature of applicant

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

1. As per notification dt. 12.11.97