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ACT (Actors Collective of Pakistan) - Membership Form
ایکٹرز کلیکٹو آف پاکستان
- رکنیت کا فارم
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Screen Name - سکرین نام
*
The name you use as an actor if different from your name as per your NIC - اگر آپ کا سکرین نام آپ کے شناختی کارڈ سے مختلف ہے تو براہ کرم یہاں اپنی سکرین کا نام درج کریں
Your answer
Full Name (as per NIC) - مکمل نام
*
Your answer
Father's/Husband's/Guardian's Name - والد/شوہر/سرپرست کا نام
Your answer
National Identity Card (NIC)/NICOP/POC/Passport Number -نمبر پاسپورٹ/NICOP/POC/شناختی کارڈ
*
Your answer
Date of Birth - تاریخ پیدائش
*
Date / Month / Year (Year is needed for Insurance Purposes - انشورنس مقاصد کے لئے سال جاننے کی ضرورت ہے)
MM
/
DD
/
YYYY
Blood Group - خون گروپ
A+
A -
AB+
AB -
B+
B -
O+
O -
Clear selection
Residential Address - گھرکا پتہ
*
Postal Address
Your answer
Correspondence Address - مواصلاتی پتہ
*
Postal Address
Your answer
Home Telephone - گھر کا ٹیلیفون نمبر
Your answer
Mobile Phone - موبائل ٹیلیفون نمبر
*
Your answer
WhatsApp Number (if different) - نمبر WhatsApp
Your answer
e-mail address - ای میل اڈریس
*
Your answer
Manager's Name (if any) - مینیجر کا نام
Your answer
Manager's Number (if any) - مینیجر کا نمبر
Your answer
Facebook Page - فیس بک پیج
As an alternative to uploading a picture, we would appreciate you sharing a social media link where we can SEE you, thank you. (Links may look like
www.facebook.com/omairtrana
)
Your answer
IMDB Profile - IMDB پروفائل
Your answer
LinkedIn Profile -LinkedIn پروفائل
Your answer
Twitter Account - ٹویٹر اکاؤنٹ
Your answer
Instagram Account - Instagram اکاؤنٹ
Your answer
Professional Acting Experience (Medium) - کس میدان میں
*
Please select the relevant ones
Television
Film
Theatre
Radio
TV Commercials
Other:
Required
Professional Acting Experience (Years) - پیشہ ورانہ اداکاری کا تجربہ
*
Please select one
Choose
1 - 5 years
6 - 10 years
11 - 15 years
16+ years
List of Three Professional Engagements as an Actor (Names - Dates - Productions) - نام، تاریخ اور پروڈکشن کے ساتھ اپنے تین پیشہ ورانہ کام کی فہرست درج کریں
*
Your answer
Name of Organisation with whom you are signed exclusively - اس تنظیم کا نام آپ کے ساتھ خصوصی ہے
Your answer
Any awards and citations you have received in acting - آپ کو اداکاری میں حاصل کردہ کوئی انعام
Your answer
What Kind of Annual Membership - کس طرح کی سالانہ رکنیت کی فیس
PKR20,000 Annual Membership WITH Health Insurance - سالانہ رکنیت ہیلتھ انشورنس کے ساتھ
PKR 00 Annual Membership / Health Insurance / Statelife Life and Disability - سالانہ رکنیت / ہیلتھ انشورنس / اسٹیٹ لائف زندگی اور معذور۔
Clear selection
*
I have read, understood and agreed to abide by the above Code of Conduct. میں نے پڑھا ہے، سمجھ گیا اور کنڈکٹ کی مذکورہ بالا کوڈ کی پاسداری کرنے پر اتفاقکرتا ہوں
*
The membership form is collected by the Board of Trustees for review for admission in the Trust. Your data is considered private and will be accessible only to select members of the Trust for only its purpose. Once the membership has been confirmed you will receive a congratulatory note along with payment instructions. Please note that you are NOT a member and Beneficiary until the annual membership fee of Rs20,000 is received.
I have read the above and agree
Required
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