APPLICATION FOR USE OF PERFORMING ANIMALS IN FILMS (PRE-SHOOT & REGISTRATION)

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ANIMAL WELFARE BOARD OF INDIA (Ministry of Environment, Forest and Climate Change, Government of India) National Institute of Animal Welfare Campus P.O. 42 KM Stone, Delhi-Agra Highway, NH-2, Village-Seekri, Ballabhgarh, Faridabad, Haryana-121 004 India APPLICATION FOR USE OF PERFORMING ANIMALS IN FILMS (PRE-SHOOT & REGISTRATION) (All columns and every item must be filled. Failing this, the application is liable to be not considered) (All pages of application form must be signed with seal of applicant and Signature of owner of the animals) 1 Language/Title of the film/advertisement to be made: 2 Company for which the film/advertisement is made : (b)in case of TV Serial, Channel to be Telecast 3. a) Name and address of applicant (in block letters) / Designation : : b) Telephone No. (with code no.) : c) Mobile No. : d) Fax No. : e) E. Mail : 4.Name, address, contact no. of owner of the animal : (To furnish address proof (Voter ID Card/Aadhar Card) 5.Name and full address of Censor Board in which the film will be censored : 6. Particulars of performing animals proposed to be used (Attach separate sheet, if required) S. No. Species Sex Age Numbers

-2-7. Ownership Certificates of the proposed animals (to be enclosed) : Yes / No 8.Fitness of animals to perform (Certificates from Veterinary Council of India registered Veterinarians to be furnished) (as per prescribed proforma) : Yes / No 9.Nature of performance of the animals (story sequences) & relevance/context of using animals (detailed nature of animal performance is to be attached in your letter head with signature of Applicant and seal of the Company) : 10. Duration for which the animals will need to perform : 11. Duration (Day/Hours) of training and rehearsal to animals for the performance : 12. Justification and need for the use of performing animals (detailed justification to be given) : 13.Place/Location of shooting and Time and date of shooting : 14.(a) Distance from place of Shooting to place where performing animals are from : (b) Mode of transport of the animals from the place where animals are housed to place of shooting (Transportation Certificate as per Rule 96 will have to be furnished for Transporting animals to the shooting place) :

-3-15.Applicants who are applying for registration/permission for films/ad films/tv Serials /Pet Shows etc should enclose a copy of Identity Card of the Applicant (Company ID Card) as proof of identity of the Applicant. For the owner of the animal (Pan Card for ID proof and Voter ID, Aadhar Card etc for Address proof) of the owner of the animal(s) has to be sent which is a must. The Shooting with performing animals shall be undertaken only after pre-shoot permission is given by AWBI and such dates be intimated to the Board atleast 7 days in advance to enable the Board to send representatives for inspection, if deemed necessary. 16. Particulars of payment of fees made : to AWBI along with this application 17.In view of the middlemen signing applications for Pre-shoot Permission and NOC, it has been decided that only authorised persons can sign in the Applications (on behalf of the Company/ Firm) for Pre-shoot Permission and NOC. The Company/Firm shall furnish a letter along with the filled up application authorising a particular person to sign such applications, correspondence along with a resolution of the Board of Directors (in the case of Limited Company) and Identity proof of the Company/Firm and the authorised signatory shall also be furnished in all cases. 18. The applicants shall intimate about use of computer graphics/dummy/animation of animals performance with details of such scenes at the time of seeking pre-shoot permission itself. They shall also furnish an affidavit in a Rs.20/- stamp paper about the specific scenes of animals shown in computer graphics/dummy/animation while applying for NOC. The Affidavit of the Company making the computer graphics/dummy/animation shall also be furnished for the specific scenes of animals in computer graphics/dummy/animation. 19.While forwarding NOC application, 2 CDs containing actual animal scenes (including computer graphics/animated/dummy) which are going to be shown in the final film shall be sent. If computer graphics/animation/dummy scenes are used, then a CD containing the rushes/making of the computer graphics/animation/ dummy scenes shall also be sent. Declaration under Clause b of Rule 2 I undertake and declare that a) This application is only a pre-shoot permission and registration of performing animals. Until the permission is issued, shooting with performing animals will not be undertaken. No post shoot approval will be entertained unless pre-shoot application is approved. b) The place, date and time of shooting will be duly intimated to Animal Welfare Board of India before 7 working days for inspection during shooting.

-4- c) No other animal not contained in the application will be employed (Animals found in the background in natural sequences such as birds or live stock or pets are exempt from this). d) The animals included in this application will be properly housed, protected, fed and safeguarded from any violence or infight among themselves or from others. e) As the owner of the animals, I undertake to send the monthly report of the registered animals as per Rule 12 of Performing Animals Rules, 2001. f) Adequate Veterinary and nursing care will be provided during and after the film shooting. g) Any animal/bird species protected by Wildlife Protection Act, 1972 and amended in August 2006 included in this study are annexed with the ownership certificate and the transportation certificate from Competent Authority as per Rule 96 of Transport of Animals Rules will be furnished. h)the Pigeons (Columbidae) except the Blue Rock Pigeon (Columba livia) is protected under Schedule IV (serial no.54) ) of the Wildlife Protection Act, 1972. The Board shall henceforth give permission only for the Blue Rock Pigeon (Columba livia) and for all other Pigeons it will be not be given permission unless the ownership certificate issued by the Wildlife Department is furnished. The list of animals protected under the Wildlife Protection Act, 1972 (Schedule I to IV) is available in our Website www.awbi.org and may also be referred in the Website of MoEF. i) The animals/birds included in this film shooting were not subjected to cruelties which has been listed by the AWBI and also displayed in its Wbsite (www.awbi.in). j) The Instructions and conditions for issue of Certificate of Registration by AWBI under the Performing Animals (Registration) Rules, 2001 under the Prevention of Cruelty to Animals Act, 1960 were taken in to consideration in filling the relevant columns of the application. k) No column in this application is left blank. (In case the column does not have a reply the words NIL or Not applicable must be used to answer the column). l) Any dispute whatsoever regarding this application will be subject to and shall be vested with exclusive Jurisdiction of Chennai Courts only. Designation

-5- I ------------------------------------------ S/o -------------------------- representing --------------------------------------- do hereby declare that particulars given in the above application are true to best of my knowledge and belief. I understand that non intimation of film shooting details to the Board shall invite penal action and refusal of No Objection Certificate. It is further declared that no cruelty was/will be caused to animals during shooting of films and the requirements stipulated in the Performing Animals (Registration) Rules, 2001 will be/have been complied with. I also undertake to fact penalty/legal action in case of any cruelty during shooting of the film. Station : Date : Signature with Seal of the Applicant : Name, Address, Tel No : E-mail ID : I --------------------------------------------- S/o -------------------------------------- being the owner of the animals hereby declare that I will comply with the provisions of Performing Animals Registration Rules, 2011 and will furnish the monthly report of the registered animals as required. Station: Date : Name, address, Tel No. of Owner Email ID :