FORM-IX
(See Rule 26)

I/We ............................................................................ the applicant(s) in respect of the film by the Board of Film Certification in the film ............................... do hereby declare that the portion or portions objected to by the Board of Film Certification in the film ..................... as endorsed on the certificate have been excised from the film and the original negative (picture and sound), inter negative, inter positive and all positive prints thereof are hereby surrendered to the Central Board of Film Certification.

I/We further declare that the above declaration is correct in all respects.

Signature of applicant

Notes :

1. If so required by the regional officer, the applicant shall produce a certificate from the owner or manager of the laboratory, where the film was processed in such form as may be specified by the Board in this behalf, in regard to the number of positive and negative copies of the film made in that laboratory.
2. All the cuts should be joined in the order of reel numbers indicated in the Board’s direction with white pieces in between two different cuts to distinguish them,. Length of each cut should be indicated in meters separately. In case of a scene required to be reduced as per directive of the Board, the producer shall indicate the length reduced and total length retained separately.