FORM VIIA : Government of India Central Board of Film Certification this Certificate is Valid for Video Films Only
PART I
[Rule 35(1)]
Certificate No ……………………….. Dated ………………..
Category “V/S” ………………………………….
Film ……………………… Gauge MM ……………………….. Length ……………………………… MTS Reels
After examination of the film by the members of the examining Committee/ Revising Committee/ Film Certification Appellate Tribunal mentioned below and on the recommendations of the said Examining Committee/ Revising Committee/ Film Certification Appellate Tribunal, the Board hereby certifies that the film is fit for public exhibition, restricted to members of any profession or any class of persons, subject to excisions and modifications listed in Part II on the reverse:-
1.
2.
3.
4.
SPECIALISED AUDIENCE VIDEO
Further certified that the excisions and modifications imposed by the Board have actually been carried out.
Name of the applicant
Name of the producer
CHAIRMAN
PART II
Particulars of excisions and modifications: