Scribd Logo
Upload

Welcome to Scribd!

  • 36 views

    SRFTI Admission 2020 PDF

    Uploaded by

    itsVvk

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    SRFTI Admission 2020 PDF

    Uploaded by

    itsVvk
    36 views2 pages

    Original Title

    SRFTI Admission 2020.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views2 pages

    SRFTI Admission 2020 PDF

    Uploaded by

    itsVvk

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    JET 2020

    Application Form

    FTII, Pune
    SRFTI, Kolkata

    447688
    * Application No.

    * Course(s) Selected Group-A: Screen Acting

    Test Centre Details


    Group-A: 15-Feb-2020 Preference 1: Mumbai
    * Date of Written Test * Test Centre City Name
    (Saturday) Afternoon Preference 2: Pune

    Personal Particulars
    * Name VIVEK KUMAR
    * Mother's Name PRATIMA DEVI * Father's Name DILEEP PRASAD SAH
    * Date of Birth 18-Dec-1987 * Category OBC(Non Creamy)
    Note: The application is based on your self declaration as belonging to the category applied for and the requisite certification for the
    same. If, at any later date, it is found that any or all of the declarations made by you in the application form is/are
    false/untrue/suppressed/ due to error(s) of omission/fraudulence, etc., your candidature would automatically be cancelled leading
    further to forfeiture of fee.
    * Gender Male * Nationality INDIAN
    * Are you person with disablity (PwD)? NO
    * Address for Communication FLAT NO 810 SRA 1ST BUILDING
    SHIVSHAKTI CHSL NEAR MOVIE TIME
    MALAD WEST MUMBAI
    MUMBAI
    Maharashtra-400064
    Email-ID [email protected] Alternate Email-ID [email protected]
    Contact No. - * Mobile No.: 9916160691

    Qualification Details:
    Main Percentage/
    Qualification Qualification/Degree Board/ Marking Exam Year of
    Subjects/ CGPA/ Division
    Level Name University Scheme Status Passing
    Specialization Grade
    BIHAR
    SCHOOL
    10th* MATRICULATION ALL Percentage - 2003 57.42 Second
    EXAMINATION
    BOARD PATNA
    BIHAR
    10+2/ INTERMEDIATE PHYSICS
    INTERMEDIATE OF
    Equivalent EDUCATION CHEMISTRY Percentage - 2006 45.44 Second
    SCIENCE
    Diploma * COUNCIL MATHEMATICS
    PATNA
    BHUPENDRA
    NARAYAN
    BACHELOR OF MANDAL
    Graduation* Commerce Percentage Passed 2009 63 First
    COMMERCE UNIVERSITY
    MADHEPURA
    BIHAR
    Any Training: I HAVE LEARNT DANCE FROM SHIAMAK DAVAR DANCE INSTITUTE MUMBAI AND FROM SOUL TO SOLE DANCE ACADEMY
    MUMBAI. I HAVE BEEN DOING THEATER FOR THE LAST 2 YEARS WITH NADIRA ZAHEER BABBARS EKJUTE THEATER GROUP MUMBAI.
    Extra Information:

    Mode of Payment: --> Credit/Debit Card


    * Transaction Reference No. 14309465 * Payment Date 1/28/2020 2:20:48 PM
    Receipt No/ 002901563084/
    * * Amount 2000
    PG Ref.No. 70002003730

    I hereby agree to the JET 2020 guidelines and affirm that the statement made and information furnished by me in the Online
    Application Form is true, complete and correct to the best of my knowledge and belief. In the event of any information being
    found false or incorrect or ineligibility being detected before or after the examination, my candidature will be rejected and action
    can be taken against me. I have read the JET- 2018 information bulletin carefully and I hereby undertake to abide by the same. I
    further declare that I fulfill all the conditions of eligibility regarding educational qualifications, etc. prescribed for FTII/SRFTI
    admissions.

    You are NOT required to send Application Form/any documents/receipt to FTII/SRFTI.


    Place
    Date
    Signature of Applicant
    (Application submitted on Tuesday, January 28, 2020 14:24)

    (Please Print the form for further reference)

    You might also like