FORM - IX

APPLICATION FOR LICENSE OF FILMING OPERATION AT PROTECTED MONUMENTS

(UNDER RULE 43)

1. Name of the applicant and address:

2. Name of the Monument at which the

proposed filming operation is to be
carried out:

3. Part of the monument proposed to be

filmed:

4. Nature and purpose of the proposed

filming operation and the context in
which the monument is proposed to be
filmed: (Relevant extract of the script
should be attached in triplicate and
details of the scenes to be filmed should
be furnished in triplicate):
5. Number of persons in the Cast:

6. Approximate duration and date of

commencement of proposed filming
operation:

I declare that the above information is correct. I also undertake to observe the provisions of the
Ancient Monuments and Archaeological Sites and Remains Act, 1958, and the rules made
thereunder.

Seal of the organisation Signature of the applicant

Place:

Date:

Note:
1. If the application is on behalf of an organisation, the name thereof should be given.
2. If the application is on behalf of an organisation the signature/seal should be that of the
organisation.
INSTRUCTIONS :

Checklist of enclosures to be submitted with the video/ film shooting application is:
1. Duly filled application (in Form-IX ) completed in all respect must be submitted atleast 15 days prior to
date of shooting.
2. Two demand drafts, one each for fee and security deposit.
3. Script of the video/film shooting.
4. In case of Foreigner/ Foreigner cast, No objection/ clearance letter of Ministry of External Affairs, New
Delhi .

Details of Fee and Security Deposit:

a. Fee for filming operation = Rs.5,000/- per day per monument.
b. Security Deposit for filming operation = Rs.10,000/- per monument.

c. Mode of Payment of Fee and Security Deposit is through Demand Draft, drawn in favour of
"Superintending Archaeologist, Archaeological Survey of India, Vadodara Circle"

d. The Security Deposit will be refunded on submission of No-damage certificate and CD/copy of the un-
edited version of video shooting.

Procedure for Release of Security Deposit:

(i) No-damage certificate is to be submitted.
(ii) Un-edited version of the video/film shooting to be submitted for verification of the fact that monument
of National importance has not been defaced or ill reported in the verse of shooting.
(iii)No-damage certificate can be obtained from the concerned Sr. C.A., C.A., Caretaker/ Foreman of ASI
under whose jurisdiction the monument falls.