Please complete form fully and clearly in black ink and block letters.

Please tick relevant boxes.


I certify that the information given in this application is complete and accurate to the best of my knowledge and understand that any misrepresentation may render my application void. I understand that this application and supporting documents become the confidential property of The Iranian Australian Association Film and will not be released to another party. I also certify that this application is for assessment purposes only and does not constitute a contract between the applicant and The Iranian Australian Association Film.

  Refresh Captcha