APPLICATION FORM FOR FINANCIAL ASSISTANCE FOR PUBLICATION
   

1.

Name of the applicant in full:
(In full Block letters)

2.

Complete Postal Address with state :
(in block letters)

3.

Whether book or a periodical:

4.

For Books

a) Title :
b) Name of the Author with qualifications :
c) Language :
d) Subject (Music, Dance or Drama) :
e) Whether original, commentary translation of compilation :
f) Nature and Scope :
g) Number of pages in the manuscript :
h) Number of pictures, if any :
i) Whether published before, if so the addition(s) and price(s) :
j) Anticipated income by sale of the book :

5.

For Periodicals

a) Name of the periodical :
b) Frequency and price :
c) Language :
d) Name of the Editor(s) :
e) Subjects (Music, Dance & Drama) :
f) Number fo subscribers and complimentary copies sent :
g) Total number of copies sold :
h) If any advertisements published :
i) Income by the advertisements :
j) Income by sales :

6.

Technical Details

a) Number of copies to be published :
b) Size of the publication :
c) Total cost of publication as under :
1) Paper :
2) Composing and printing :
3) Cover and Binding :
4) Blocks :
5) Royalties, if any :
6) Other expenses :

7.

Amount of Grant required :

8.

Whether agreeable to publication by the Akademi :

9.

Whether receiving or applied for
any grant for this purpose from
any other source.

10.

Any other information

DECLARATION BY THE APPLICANT

                      I hereby declare that the statements made in this application are true to the best of my knowledge and belief, and that I/We will abide by the rules and condition laid down by the Sangeet Natak Akademi.

Dated the…………… Signature………………………….

IMPORTANT NOTE

1.

All applications must be accompanied by a complete manuscript of the work without which consideration of the application will not be possible.

2.

Separate applications forms should be used for each publication.

3.

Other publications, if any, published by the applicant may be indicated.

4.

A list of other publications of the organization, if any, and details of its other publication programme should also be submitted, along with the following papers:

 
1) Constitution :
2) Names of Office bearers :
3) Audited Statement of Account :
4) Report of activity during last one year :