MUMBAI PORT TRUST
GENERAL ADMINISTRATION DEPARTMENT

Permission for Photography / VIDEO ShootiNG 

Application Form

 

The Secretary,

Mumbai Port Trust,

Port House, S.V. Marg,

Ballard Estate,

Mumbai 400001.

1.

Name and address of the applicant    

:

 

2.

Name of contact person

:

 

3.

Contact Telephone No.   

:

 

4.

Email ID/Fax No. 

:

 

5.

Place of photography/film shooting

:

 

6.

Date and Time 

:

 

7.

Type of photography/film shooting

:

 

8.

Purpose 

:

 

9.

Bank Account No.with other particulars for remittance through ECS

:

 

10.

NOCs already obtained, if any           (copies to be enclosed)

:

 

11.

Other relevant information pertaining to the  shooting/photography

:

 

                                  

(Signature)
Name:
Designation:

Note :
1. Application should be made on the applicant’s letter-head.
2. Payment towards charges and deposit should be made by Demand Draft/s.
3. Refund of deposit paid will be made only through ECS .
4. No refund application will be entertained after six months from the date of photography/film shooting.

          

1