MACTA | Application

mactashortmovies@gmail.com

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Name

Photo

Pen Name

Permanent address

Temperory postal address

Select the type of membership.

Telephone

Social media number

Aadhar card

Blood group

E-mail id

DOB

Category of working field

Name of institution if any(Film based studies)

Name of Guru

First Film

Number of films

Membership in any other organisation

Marital status

Spouse

Nominee

Relationship

Name of MACTA Executive Member Recommended

Membership Number of MACTA Executive Member Recommended

Signature

I hereby declare that the details furnished in this application are true and correct to the best of my knowledge. I also agree to abide the rules and regulations of Malayalam Cine Technicians' Association.