Application for Audio/Video Dubbing
from the Akademi Archive

Date : ___________

To

The Secretary
Sangeet Natak Akademi
Rabindra Bhavan
New Delhi-110 001.

Dear Madam,

        I may kindly be permitted to have the copies of the following audio/video recordings from the archive of the Akademi for the purpose of Study/Research/Collection/Lecture-Demonstration/Reference/TV programme against prescribed payment of the technical charges.

S.No                   Subject                      Tape No.                         Approx. Duration

 

 

 

I am enclosing herewith ___________ audio ______________ video cassettes for the dubbing.

        I hereby declare that the use of the above material will only be for the purpose mentioned above and no further copy will be made without prior approval of the Akademi.
I also agree to give due credit to the Sangeet Natak Akademi for the use of material.

Thanking You,

    Yours faithfully,
     
  Signature ______________________
  Name ______________________
  Address ______________________
    ______________________
    ______________________

Phone No. ______________________

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Remarks:

Secretary                                                                            ______________________
                                                                                          DS (Docn)