Gram : Jivabandhu Phone: 044-2445 4958

044-2445 4935

Fax : 044-2445 4330

Animal Welfare Board of India

(Ministry of Environment and Forests, Govt. of India)

Post Box No. 8672

13/1, Third Seaward Road, Valmiki Nagar, Thiruvanmiyur, Chennai - 600 041.

Email : awbi@md3.vsnl.net.in

APPLICATION FOR USE OF PERFORMING ANIMALS IN FILMS

(PRE-SHOOT & REGISTRATION)

1.  Language/Title of the film/advertisement be made         :

2.  Company for which the film/advertisement/TV Serial

is made                                                       :

(b) in case of TV serial channel to be telecast :

( c ) number of episodes having animal performances :

3. a) Name and address of applicant                 :

       (in block letters)

    b) Telephone No. (with code no.)                :

    c) Mobile No.                                              :

    d) Fax No.                                                   :

    e) E. Mail                                                     :

      4. Particulars of performing animals proposed to be used (Attach separate sheet, if    

required)

S. No.

Species

Sex

Age

Numbers

5. Ownership Certificates of the

proposed animals (to be enclosed)    :  Yes / No

 6. Fitness of animals to perform

(Certificates from Veterinary Council of

India registered Veterinarians to be furnished)

(as per prescribed proforma)                            : Yes / No

 7. Nature of performance of the animals

(story sequences) & relevance/context of        

using animals (detailed nature of performance

to be attached) :

 8. Duration for which the animals

will need to perform                          :

 9. Duration (Day/Hours) of training and

rehearsal to animals for the performance        :