ASSOCIATION of ANIMATION, VISUAL EFFECTS, COMICS & GAMING INDUSTRY (AVCGI-TELANGANA) MEMBERSHIP REGISTRATION FORM Instructions: 1. 2. If the applicant is running multiple operations under sister concerns, they need to register each of them as a separate company. 3. Application form should be accompanied by a Demand Draft for Rs.10,000/- (Rupees Ten Thousand Only) drawn in favor of Association for AVCGI, Hyderabad (Non-refundable) for Lifetime membership. 4. Application form should be accompanied by a Demand Draft for Rs.1,000/- (Rupees One Thousand Only) drawn in favor of Association for AVCGI, Hyderabad (Non-refundable) for One Year membership. NOTE: Only such companies registered with AVCGI are entitled to avail the privileges and subsidies put forth by the Government of TELANGANA under the ICT Policy. Registered Address: Association for AVCGI C/o - Green Gold Animation Pvt Ltd,1-8-342, Indian Airlines Colony Extension, Patigadda, Begumpet,Hyderabad – 500016, TS. Association of Animation, Visual Effects, Comic and Gaming Industry – Hyderabad APPLICATION FORM I. Name of the Company II. Year of Establishment III. Mode of Operation: IV. Registered Address: Production Street City PIN No. Mail H.No. Town Dist. Fax URL V. VI. Training Correspondence Address Same as above: Yes No H.No. Town Dist. Fax URL Street City Pin No. Mail Production & Training Tel No. Tel No. Board of Directors Name, Address, and PAN No. Director Name Roles & Responsibilities Signature (Please attach the individual profiles of all the Directors along with their PAN CARD copies) Company Seal Authorized signatory Page 2 of 6 Association of Animation, Visual Effects, Comic and Gaming Industry – Hyderabad VII. Brief Background of the company (Give details of professional background, existing lines of business etc.) VIII. Total Current Space occupied (sft) ________ Location I : ____________________ Sft.________ Owned Rent / Leased Location II : ____________________ Sft._________ Owned Rent / Leased Location III : ____________________ Sft._________ Owned Rent / Leased __________________________________________________ IX. Staff Employed: Total Staff ________ Type Existing Staff Projected Staff In next two Years Managerial Supervisory / Project leader (i) CG Artists (ii) Non Artistic Clerical Other Categories (specify) Total Company Seal Authorized signatory Page 3 of 6 Association of Animation, Visual Effects, Comic and Gaming Industry – Hyderabad X. X. Details of Services Details of Services 2D Animation Visual Effects Gaming 3D Animation Pre Production Post Production Editing & DI Commercials Web Technologies ________________ __________________ __________________ XI. Contact Person (Technical) Name Designation Tel # with Ext. Mobile No. Mail ID XII. Contact Person (for Admin/Authorized Signatory) Name Designation Tel # with Ext. Mobile No. Mail ID Please Note: We appreciate only genuine details for our records. If any change pertaining to the details furnished above should be informed to AVCGI immediately by Email: [email protected] Company Seal Authorized signatory Page 4 of 6 Association of Animation, Visual Effects, Comic and Gaming Industry – Hyderabad Enclosures S. No. 1. 2 3. 4. 5. 6. 7. Particulars DD for Rs.10,000/- (Rs. Ten Thousand only) in favor of Association of AVCGI, Hyderabad for Lifetime Membership DD for Rs.1,000/- (Rs. One Thousand only) in favor of Association of AVCGI, Hyderabad for One Year Membership Portfolios of the Directors with their PAN Card copies. Detailed Project report with Marketing strategy & profile of the company* Last three Years Company IT returns* Rental/Lease/Ownership documents of the company premises* All relevant Incorporation documents of the Company Ye s No * Optional Please Note: We appreciate only genuine details for our records. Receiver Signature AVCGI Authorized Signature AVCGI Company Seal Authorized signatory Page 5 of 6 Acknowledgement of AVCGI Registration Form S. No. 1. 2 3. 4. 5. 6. 7. Particulars DD for Rs.10,000/- (Rs. Ten Thousand only) in favor of Association of AVCGI, Hyderabad for Lifetime Membership DD for Rs.1,000/- (Rs. One Thousand only) in favor of Association of AVCGI, Hyderabad for One Year Membership Portfolios of the Directors with their PAN Card copies. Detailed Project report with Marketing strategy & profile of the company* Last three Years Company IT returns* Rental/Lease/Ownership documents of the company premises* All relevant Incorporation documents of the Company Ye s No * Optional Please Note: We appreciate only genuine details for our records. Receiver Signature AVCGI Authorized Signature AVCGI Company Seal Authorized signatory Page 6 of 6
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