Utsav Media — रंगभूमी कार्यशाळा

Application Form / प्रवेश अर्ज

Name

This field is for validation purposes and should be left unchanged.

Full Name(Required)

First Name Surname / Last Name

Email ID(Required)

Mobile Number(Required)

Enter 10-digit mobile number, without leading 0 or +91.

Date of Birth(Required)

Enter your Birthdate in DD-MM-YYYY format. Example: 12-08-1986.

Address(Required)

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Theatre Background/Experience(Required)

Describe your background in Theatre so far. If you've attended any workshops or classes, or if you have participated in any competitions or performed in any plays, please describe your work here.

Payment

IMPORTANT STEPS TO BE FOLLOWED:

Please use the following UPI ID or QR code to make the MEMBERSHIP FEE payment. You can also manually make a payment to the UPI ID yogeshshiposkar@okicici
Take a screenshot of the confirmation screen showing the UTR number.
Upload the screenshot in the field below.

Please send a manual payment to UPI ID yogeshshiposkar@okicici

SHOW QR CODE TO SCAN FROM DIFFERENT MOBILE

Payment Confirmation Screenshot(Required)

Drop files here or

Accepted file types: jpeg, jpg, png, pdf, Max. file size: 5 MB, Max. files: 2.

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