Madhya Pradesh Tourism Board

Subsidy Application for

Shooting (Feature Film/TV Serial/Show/Web Series/Original show/Documentary)/ MP based
Casting/Location Fee Reimbursement
(Under Madhya Pradesh Film Tourism Policy – 2020)

To,
The Chairman,
Film Facilitation Cell (FFC),
Madhya Pradesh Tourism Board (MPTB),
6th Floor, Lily Trade Wing, Jahangirabad
Bhopal - 462008

Sir/Madam,
I request you to sanction subsidy for my Project titled..................................released on
dated………………………… as per Madhya Pradesh Film Tourism Policy - 2020. The Project has been shot for
total…………...days in Madhya Pradesh out of total………………... shooting days, that is ............percent of total
shooting days in Madhya Pradesh. The Total Cost of Production of complete project is
Rs........................................... (in words) ..............................................................as per Annexure “A” of
Madhya Pradesh Film Tourism Policy - 2020.
The details of the Project are as follows: -

Part A: Basic Information

1. Name of Applicant/Producer/s…………………………………………………………………………………………………………..
2. Name of Production house………………..……………………………….…………………………………………………………..
3. Details of PAN/TAN /GSTIN ……………………………………………………………………………………………………………
4. Address.................................................................................................................................................
Mobile No .........................………..……………Landline No……………………………………….…………………………..
Email ID: ......................................………………………………………………………………………………………………….
Website: .……………………………………………………………………………………………………………………………………..
5. Name/Title of Project …………………………………………………………………………………………………………………..
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6. Details of project (Select) –
a) Category:
 Indian
 International
b) Type of Project:
 Feature Film
 Web Series/ Original show
 TV Serial/Show
 Documentary
c) Language of the project:
 Hindi
 English
 Tamil
 Telugu
 Kannad
 Malyalam
 Any Other(Specify)
d) Certification (enclose):
 Censor Board Certificate
 Cinema Hall Release Certificate
 GEC Certificate along with the telecast schedule
 OTT Platform Release Certificate (OTT specified by FFC)

e) Number of screens/Episodes…………….……………………………………………………..(enclose proof)

f) Length of the Project:………………………..……Minutes (Episode vise in case of TV series/Web
series/Original show)
7. Name & Details of Director, Writer/s, DOPs and Lead Actors of the project (details like Experience,
Awards received and other, enclose details)
8. Registration certificate of Story/Script (please enclose)
9. Format of applied project (35 MM/16 MM/HD/3D/others) …….…………….………………………………………….
10. Target Audience (Geographically & Demographically) ………………………………………………………………………
………………………………………………………………………………………………………………………………………………….
11. Power of attorney for authorization (if required - enclose)
12. Total Number of shooting days………………………………….. (Enclose proof like Permission copies, payment
receipts, bills etc.)
13. Total Shooting days in Madhya Pradesh……………………………(Enclose shooting days Certificate)

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14. Details of Publicity & Marketing done during the shoot of project, that give extra advantage/visibility
to the State:(Please enclose the details as per format given below)

Sr. Medium of Publicity (Print, Audio/Visual, Description Enclose Supporting Docs& Digital
OOH, Digital, Social media etc.) Links

15. CA Certificate of COP (in INR) as per prescribed Format.

16. Copy of the Script/screen play of the Project. (enclose)

Processing Fee:

The processing fee of Rs. 15,000/- + 2,700/- (GST@ 18%) = Rs. 17,700/- have been deposited to MPTB
Bhopal through NEFT/DD ref. no…………….………..…………………..dated…………………(Enclose document)
Bank Details of MPTB:
Name: Madhya Pradesh Tourism Board
Bank: HDFC
A/c type: Govt. Saving Account
Account No. 50100158647595
IFSC: HDFC0003662
MICR: 462240009,
Branch: New Market, TT Nagar, Bhopal.

Seal & sign of Applicant/Production House

Place:
Date:
Seal:

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 Part B: Project Specific Information

Application for Feature Film

1) Series of Film in MP (Please select) –

 First
 Second
 Third
 Forth & above

2) Eligibility & claim for subsidy under clause 10.1.10 for Southern Language Films-
 Yes
 no
If Yes,
- Please enclose the script in Hindi/English language of the film.
- Description in 200 words with screen time log, about how Madhya Pradesh is
showing in the Film.
- Screen time log for proof that more than 25% of total screen time given to MP
locations.

3) Eligibility & claim for subsidy as per Special clause 10.1 (for additional subsidy of Rs. 50
Lakh) of MP Film Policy 2020- Film in which Madhya Pradesh is prominently featured with
more than 75 percent shooting days in the state through which tourism of the state gets
direct benefit:
 Yes
 no

If Yes,
- Description of 200 words stating that How Tourism of the state will get direct benefit
along with proof (in script/digital form along with the screen time log)

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 Application for Web Series/OTT

1) Release platform (select) –

 Netflix
 Amazon Prime
 Hotstar Disney
 Zee5
 Sony Liv
2) Does the Web Series has Minimum 05 Episodes of minimum 30 minutes each or total 120 minutes. –
Yes/No (enclose proof)
3) Age Rating of Web Series given by OTT platform –
 7+
 13+
 16+
 18+

4) Please enclose the -

 Script in Hindi/English language of the web series/project.
 Description in 200 words with screen time log, about how Madhya Pradesh is showing in the web
series/project.
 A final digital copy of web series/project for proof.

Application for Subsidy on Documentary Film

1) Category/Type of documentary: (Please select)

 Tourism of the State
 wildlife of the State
 culture of the State
 Tribe/ Local People of the State
 heritage/ history of the State
 Others (Please Specify)

2) Please specify Release Channel (as per approved list of FFC):

 Name of TV Channel - ……………….
 Name of OTT Platform - ………………..

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3) Level of Release (enclose details/documents)–
 National
 International

4) Please enclose the -

 Description in 200 words about how Madhya Pradesh is showing in the documentary, in terms of
tourism, culture, heritage etc. of the state.
 Detailed biodata, experience & recognitions of the documentary filmmaker.

Application for subsidy Local/MP based Artist hiring

1) Name & Details of Primary & Secondary Artists: (Enclose details)

2) Total number of artists in the project: ………….
a) Primary - ………………….
b) Secondary - ………………

3) Details of the Artists (Please enclose the details as per format given below)-

Category Name Name of Document Enclose Proof Enclose

of Character (please select & of fees Agreement/
Artists he/she enclose) payment (Artist contract copy
playing Vise) (Artist Vise)

Primary/ Domicile
Secondary certificate/Birth
Certificate/ Education
Certificate (minimum 5
Years)/Aadhar Card/
Driving license

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 Application for Govt. Location Permission fee Reimbursement

If applying for subsidy under clause no. 10.1.8 for Permission fee Reimbursement (Please enclose the
details as per format given below) -

Sr. Name of Name of Indoor/ Date Fee Enclose receipts Screen time log
Locations Department outdoor & Payment with permission (proof of shooting
(describe) Time (in rupees) letters location)

Place: (Seal & sign of Applicant/Production House)

Date:
Seal:

-------x-------

Instructions:
1- All the names should be filled in capital letters
2- All the columns should be filled. Name of Applicant (along with the signature of the applicant)
3- The Script & Screenplay (including dialogues) should be enclosed in one copy and it should be clear
and readable.
4- Script synopsis and language should be only in Hindi/English.
5- Total Cost of Production (COP) must be certified by a chartered accountant as per prescribed format.
6- All the documents are enclosed with the form are to be self-attested.
7- It is necessary to attach the certificate/permission issued by the concerning department/authority
regarding the shooting done in M.P.

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 Declaration (On Letter Head)

i. I/we.....................................................of M/s......................................................... hereby undertake that

all the facts and details/documents mentioned in the application are true to the best of my knowledge
and belief. If any fact or detail is found incorrect/false, Film Facilitation Cell (FFC) will be free to recover
all the amount sanctioned as subsidy with interest from me and also initiate legal proceedings as per
the laws and regulations.
ii. I declare that this project (film/web series/TV Serial/Documentary) has been shot in Madhya Pradesh
according to the Madhya Pradesh Film Policy - 2020 and it has not been produced by dubbing.
iii. I declare that we have mentioned the logo of MP Government and Madhya Pradesh Tourism Board at
the starting of the Film/TV Serial/Web series/ Documentary with the statement of credit.
iv. I declare that I have full knowledge that the subsidy will be admissible to the limit of the first print only.
v. I declare that the project does not contain any strictly mature subject which may be inappropriate for
below 18 years audience for the reason of violence, nudity, sex, explicit language, defamation of the
state, false claim etc.
vi. I also declare and fully aware that the Film Facilitation Cell (FFC) will examine the matter of subsidy
payable on my project and decide regarding granting/non-granting of subsidy on the basis whether the
rules, directives and objectives as mentioned in the Madhya Pradesh Film Tourism Policy 2020 and rules-
regulations of the policy. I will have no objection on the decision taken by Film Facilitation Cell and the
decision taken by Film Facilitation Cell will be final and acceptable to me, on which I will not file any
dispute in this regard on any other forum.
vii. I declare that I have full knowledge that the subsidy is given on the expenditure heads as given in
Annexure A of Madhya Pradesh Film tourism Policy -2020 and the heads allowed by the FFC.
viii. I declare that I have not taken any subsidy from any other state government for the applied subsidy as
per given information in the form.
ix. I declare that no dues are pending from any vendor of Madhya Pradesh against any services taken.

Place:
Name of the Applicant
Date:
Official Seal & Signature of the Applicant

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List of Required Documents with respect to the Subsidy Application Form:

Part “A”

1) Certificate of Incorporation of the Production House.

2) Power of Attorney for Authorization
3) Censor Certificate/Release Certificate/GEC Certificate/OTT Certificate/Telecast Schedule
4) Proof/certificate of Number of screens/Episodes
5) Detailed Biodata of Director, Writer/s, and Artist/s of the project.
6) Registration certificate of Story/Script.
7) Affidavit for total no. of shooting days of the project along with the relevant document (i.e. shoot
permission copies, payment receipts, Daily Production Report etc.)
8) DM Certificate for total shooting days in MP.
9) Copies of all Shoot Permission at government locations with payment fee receipt. Details of the
shooting permission and shooting charges paid on government owned locations.
10) CA Certificate along with the total COP as per Annexure “A” of M.P. Film Tourism Policy -2020 (As per
prescribed Format )
11) Copy of the Script/Screen Play of the Project in Hindi/English in one copy
12) Final digital copy of the project along with Screen log of MP locations
13) Processing fee payment online receipt or non-refundable demand draft amounting INR 17,700/-
(including 18% GST) in favor of “Madhya Pradesh Tourism Board” will have to be submitted to Film
facilitation Cell (FFC) as processing fee.
14) Copy of GSTIN registration certificate & PAN
15) Vendor Registration Form (to be filled in Capital letters as per prescribed format)
16) Details of Credit to the State/ Tourism department and locations shown in the projects in digital format.

Part “B”

1) Description of 200 words, as required in Part B of the form.

2) Supporting documents of MP specific film
3) Local Artists fee payment Receipt and agreement
4) Proof of Local Artist Hiring(Domicile Certificate/Birth Certificate/ Education Certificate of minimum 5
Years/Aadhar Card/Driving License)
5) Shoot permission copy & Payment receipts of shooting permissions at government locations of MP.
6) Any other document required in the subsidy application form.

-------x-------

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 Certificate by Charted Accountant for Cost of Production (COP)
Eligible for subsidy for Feature Film/T. V. Serial/ Web Series/ Documentary
(Under Madhya Pradesh Film Tourism Policy – 2020)

Certified that the applicant ……………………..from …………..……….production house has completed the shooting project of
………….(project type- Feature Film/T. V. Serial/ Web Series/ Documentary)…………….titled…………………. is eligible for subsidy
under clause no 10 of the Madhya Pradesh Film Tourism Policy 2020. The ..…(project type..)… is released on ……………….in
…………..states/OTT on total ………..…screens / Global Release.
The expenditure incurred on the project (COP) is as under:-

Sr. Heads of the Expenditure Amount in INR

A
1 Manpower Hiring Cost
1.1 Lead Actors fees (other than MP Residents)
1.2 Producer fees
1.3 Director & Writer fees
1.4 Supporting Cast Charges (other than MP Residents)
1.5 Dialogue/Story Writer fees
1.6 Extras & Features Charges
1.7 Direction Department Fees
1.8 Production Department Including Line Producer Fees
1.9 Art Department Fees Including Wages
1.10 Choreographer & Photographer Fees
2 Equipment & Production Cost
2.1 Camera & Equipment Hire Charges
2.2 Sound Equipment Hire Charges
2.3 Light & Grip Hire Charges
2.4 Generator Hire Charges
2.5 Vanity Van , Walkies & Picture Vehicles Hire Charges
2.6 Costume Purchase & Hire Charges
2.7 Art, Set & Props expenditure
2.8 Camera, Grip & Light Fees
2.9 Sync Sound & Sync Security
2.10 Costume Department Fees
2.11 Make-up & Make-up Material
2.12 Production Office Cost
2.13 Post Production, Legal & Auditor fees/ Charges
3 Lodging Boarding & Transport
3.1 Entourage Charges
3.2 Transport Charges
3.3 Flights & Hotel Accommodation expenditure
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 Sr. Heads of the Expenditure Amount in INR
A
3.4 Food & Beverage expenditure
4 Location Cost
Location Charges (except govt. locations charges of MP
4.1 state)
Total A
B
5 Primary Artists (MP Resident only)
6 Secondary Artists (MP Resident only)
Total B
C
7 Location Charges (govt. Location charges in MP state
only)
Total C
D
8 Other particulars (If Any)
8.1
8.2
8.3

Total D
Total Expenditure (A+B+C+D)
9 Arrangement of Fund
Loan : if any: Name of the bank / financial
9.1 institution and amount of loan
9.2 Contribution from other Sources
9.2.1
9.2.2
9.2.3
9.2.4

Total

The total COP is Rs…………………………………………………. (in words)……………………………………………………….

Certified that the expenditure given in this certificate have been verified from the ledgers, book of accounts and bank
accounts of the production house. Separate lists of head-wise expenditures are appended with the certificate.
This is also certified that this project carried by ………….(No.) production houses. Agreement for the same is attached. (If
applicable)

Date of issue of certificate:

Place:
Signature
Name, registration No. Membership no., Address, Seal & UDIN No
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 Annexure A:
Details of the Lead Actors fee is to be furnished as per following format: -
Sr. Name Fee

A. Artists from MP
i. Primary Artist
1

Total (i)

ii. Secondary Artist

1

Total (ii)

Total A (i + ii)

B. Artists outside of MP

Total B

Grand Total (A + B)

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