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3rd HALF FESTIVAL 2013 SHORT FILM COMPETITION ENTRY FORM

DETAILS OF ENTRY Title: _____________________________________________________

Year of Production: _________________________________________

Country of Production:

Running Time (including titles): _______________________________

Original Film Format: ______________________________________

Language of film : --------------------------------------------------Subtitled in :-------------------------------------------------------

Link:---------------------------------------------------------------------------------

Password if any: ------------------------------------------------------------------( Use Dropbox / WeTransfer / Sendspace)

Screening history (including festivals and any prizes/awards received): ________________________________________________________ ________________________________________________________

www.siteinsight.in e-mail: palakkadinsight@gmail.com half 2013entry form


DETAILS OF PRIMARY CONTACT PERSON (Preferably the Director of the Film) Name: ______________________________________________________

Position in Relation to Film:______________________________________

Address:_____________________________________________________ ____________________________________________________________

Phone ______________________________________________________

Email________________________________________________________

FILM CREDITS Director:_______________________________________________________ Writer: ________________________________________________________ Producer: ______________________________________________________ Cinematographer: _______________________________________________ Editor: ________________________________________________________ Music Director__________________________________________________ Principal Cast (lead actor and actress only): Actor____________________________________________________ Actress___________________________________________________ Makeup Artist ___________________________________________________

www.siteinsight.in e-mail: palakkadinsight@gmail.com half 2013entry form


Short synopsis: ________________________________________________________________________

________________________________________________________________________

Name: Signature: Date:

www.siteinsight.in e-mail: palakkadinsight@gmail.com half 2013entry form


Submit this part after getting the confirmation form Insight with ID No.

3rd HALF FESTIVAL 2013 SHORT FILM COMPETITION Declaration Form

ID No. ( Insight will forward this number on confirmation)

Details of Entry Fee sent: Transfer Credit / Money Order (Whether by transfer credit to Saving Bank Account Number : 15331570000732 of C. K. Ramakrishnan at Palakkad Branch of HDFC Bank, or by M.O. to Mr. C. K. Ramakrishnan, Office Manager, Insight, Shreyas, Kalvakulam Road, Palakkad- 678001, Kerala, India) DECLARATION I hereby declare that I have read the terms and conditions and agree to abide by them and that the work entered by me is entirely my original work free from infringement of any copy right. I also agree that the film may be screened in connection with the festival at any time before the public without my further permission. Short clips may be telecast as part of news coverage of the Festival. However, screening of my film in connection with any other event will require my permission in advance.

Signature of the Entrant (Preferably the Director) Name:------------------------------Place:-------------------------------Date:---------------------------------

www.siteinsight.in e-mail: palakkadinsight@gmail.com half 2013entry form


Check list: 1. Declaration form 2. DVD 2 Nos. 3. Entry Fee (Rs. 500/- or $ 30/-) 4. Poster ( Electronic file) 5. Photograph of Director ( Electronic file) 6. List of delegates who are attending the festivals with contact details Send the above items to be received on or before: 20th of July 2013 to the following address: C. K. Ramakrishnan, Office Manager, Insight, Shreyas, Kalvakulam Road, Palakkad- 678001, Kerala, India. Phone: 00919446000373

www.siteinsight.in e-mail: palakkadinsight@gmail.com half 2013entry form

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