Application Form

Please fill out the following application form accurately and completely. All fields marked with an asterisk (*) are required.

Student basic information

Choose course*

Full Name*

Date of birth*

Gender*

Nationality*

Contact number*

Email*

Address*

Student photo*

Photo Must be in Passport (PP) Size. Max Upload Size 256KB

Education

Highest Level of Education Completed*

Name of Institution*

Year of Passing*

Upload Certificate as pdf*

Employment History

Name of the Institution

Position

Employment Period

Media Experience

Do you have any prior experience in the media industry? (Please check one)*:

Yes No

If yes, please provide details:

Company Name

Designation

Employment Period

Description of Responsibilities

Skill

Please indicate your proficiency level (Beginner, Intermediate, Advanced) for the following skills:

Video Editing

Graphic Design

Photography

Script Writing

Cinematography

Content Creation

Audiography

Direction

Portfolio

Please provide links or attachments to your portfolio (if available).

Link

Attachment

Declaration:

I hereby declare that the information provided in this application form is true and accurate to the best of my knowledge.

Applicant's Name*

Date*

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23-06-2023

"Empowering Creativity: Logline Media Academy's Successful Film Making Workshop 2022"

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From Script to Screen : Logline Media Academy's Dynamic 4-Day Film Making Workshop 2023

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An introduction to cinematography - An interactive session by ace lensman Manoj Pillai at Logline Media Academy

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