Short Video Competition Registration Form

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REPUBLIC OF THE PHILIPPINES

NATIONAL YOUTH COMMISSION


COMMISSION ON ELECTION

INKED: A VOTER EDUCATION CAMPAIGN


SHORT VIDEO COMPETITION
Entry Form

Director’s Information

Name: Age:
Address:

Email: Phone Number:


Birthdate: Gender:

Short Video Information

Title:
Video Topic: Total Running Time:

WAIVER

I understand that the submission of my work/s authorizes the National Youth


Commission (NYC) to use the same for exhibition, education, and/or publicity
purposes related to the campaign; and that NYC is not responsible for any claim
involving copyright, trademark, credits, royalty infringement or any other
violations related to the work. Once prize has been received, the Organizers
shall have complete and sole ownership of the winning ads (including the
consolation prize winners) to be utilized at its discretion.

Printed Name:
Signature: Date:

CERTIFICATION OF APPLICANT

I, the undersigned, acknowledge and agree to the following:

I have read, understood and fully complied with terms and conditions and
eligibility requirements of the contest.

I declare that I am duly authorized to submit this production to the event.

I certify that this entry has not been, in any way, commercially exhibited in
the Philippines.

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INKED: A VOTER EDUCATION CAMPAIGN
I certify that the entry is original and that the production team has obtained
all film, music rights and production clearances, in accordance with any and
all existing applicable laws.

I hereby certify that all information given here is true to the best of my
knowledge and abilities.

______________________________________ _____________________
Signature over Printed Name Date

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INKED: A VOTER EDUCATION CAMPAIGN

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