Application for empanelment of media agencies, short film producers and such other creative media person(s) for creation of audio- visual materials for narration and showcasing of success stories of MSME Entrepreneur(s)
Name of the Agency/Firm/Professional/Individual
Please mention the name of your Agency/firm & also mention you name and separate them using Enter Command
Your answer
Address of the Agency/Firm/Professional/Individual
Mention Building No, Street
Your answer
City
Your answer
State
Your answer
Pincode
Your answer
Photo Identity of Proprietor / Owner
Mention No. of above selected Photo Identity
Your answer
Phone No / Mobile No
Please mention phone no with STD Code or mention mobile no
Your answer
Alternate Phone No / Mobile No
Please mention if any
Your answer
Email Id
Your answer
Area of Expertise(s)
Multiple Options can be chosen
Work Experience
Please mention the total experience in years
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Brief details of similar Work(s)/Job(s)/ Project(s) completed by Agency/Firm
Please mention the Client, Target Audience, Place & type of work completed so far
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Specific ideas/ activities that service provider would like to offer for this work
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Web Links to Audio - Visuals of previous work
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