Downlod Form

A) APPLICATION FORM FOR CERTIFICATION OF REVISED VERSION OF
UNCERTIFIED FILMS
B) AppeaL FORM-1

Application for certification of film for exhibition

Any person who desires a film to be certified as suitable for public exhibition shall submit an application, in writing, to that effect. Every such application shall be made in form as follows :

FORM OF APPLICATION

TO
The Secretary
Bangladesh Film Censor Board
Government of the People's Republic of Bangladesh
Dhaka.

Dear Sir,
           I apply for the certification for public exhibition of the film mention below. A copy of the press book of the film (in respect of imported films) three copies of synopsis and full text of songs (in respect of locally produced or vernacular films); import documents (in respect of imported films) and dialogue script shooting script are enclosed. The examination fee of Taka reckoned at the rates prescribed in the Bangladesh-Censorship of Films Rule 1972, has been deposited in the Treasury under the Receipt Head "Code No. 1-3371-0000-2681" as per challan attached.

2. I undertake to be governed by the Censorship of Films Act, 1963 (Act XVII of 1963), and the rules made there under.

3. Necessary particulars as required by the rule 14 of the Bangladesh Censorship of Rules, 1972, are given as under: -

(a). Title of the film.
(b). Language in which the film is produced:
(c). Length of the film in feet:
(d). Number of reels:
(e). Gauge of the film:
(f). Type of the film, i.e. :

(i) Flat: (ii) 2-D : (iii) 3-D : (vi) Cinemascope :

(v) Vista vision: (vi) Any other type :

(g). Nature of the film, i.e. :

(i) Newsreel : (ii) Documentary : (iii) Short/Educational/Advertisement :

(h). Whether the film is silent or a talkie :
(i). Color of the film :
(j). Country in which produced :
(k). State separately the number of negative and positive prints of the film:

(i) Produced (Negative ………………………….)
(Positive …………………………..)
(ii) Imported (Negative ………………………….)
(Positive …………………………)
(iii) Possessed by the (Negative ……………………..)
Applicant (Positive ……………………..)

(l). Is the film in its original version as produced or imported or dubbed? If dubbed, state details mentioning the original language of the film :
(m). Name of the producer :
(n). In case of foreign films, state the name of person or company importing and releasing the film :
(o). If the film is produced or dubbed in several languages under different titles, state the title of each version :
(p). In case of imported film, please state :

(a) Mode of import viz. :

(i). Is it imported against Import Permit? If so, number and date of import license :
(ii). Is it imported under diplomatic privileges (only applicable to foreign mission films)?

(q). Is the applicant prepared to exhibit the film for the purposes of its examination at the place fixed by the Board at his own cost?

4. The print of the film has been deposited with the Secretary.

5. I declare that the statement recorded above is true-in-every detail.

Yours faithfully

Full name and signature
Of the applicant:
Status in the company/Firm:

Permanent address
(Local address with
Telephone No. if any:
Date:……………………..

Enclosures:

(1) Press Book.
(2) Copies of synopsis and text of songs in full.
(3) Import documents, import license/Bill of Entry.
(4) Dialogue script/Shooting script.
(5) Treasury Challan.
(6) Bank receipt of screening fee.
(7) Any other document.