|
Purpose: Personal
Collection/ Publication/ Study Research/ Exhibition
| Any
other |
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For Publication/ Book
/ Newspaper/ Magazine/Journa/ Brochure.
| Any
other |
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| Title
of Publication |
| |
|
| Likely
Date of Publication |
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Publishers
if know |
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| Price |
|
Yes/
No. |
|
If
Yes, approx. Price |
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I hereby agree
to send a copy of the publication for record of the Sangeet Natak Akademi,
New Delhi.
| For
Research & Study |
_________________________________
|
| Area
of Study |
_________________________________ |
| Specific
Subject |
_________________________________
|
| Study/Research
sponsored by |
_________________________________
|
| |
|
|
I agree to give
due credit to Sangeet Natak Akademi, New Delhi for the use of above material.
| Dated
: ___________ |
______________________
Signature
|
Payment received on
______________________
Cash Memo/Bill
No. ______________________ Rs.___________ Dated ___________
No. & Date of job card required by __________________________________________
Date of Delivery ____________________
| |
Technical
Assistance |
| |
Date
of job comlition _____________________ |
| |
Dispatched/Delivered
on __________________ |
| Photographer |
|
| D.S.(Film)
Tech. Asstt. |
|
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