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Entry Form of FA

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4th International Documentary and Short Film Festival of Kerala

1st – 5th July 2011, Thiruvananthapuram, Kerala, India

Entry Form

Deadline for submission: 25th May 2011

Please complete the form fully and legibly

Title of the film………………………………. Title in English……………….

Director………………………… contact email & mob phone no:…………..

Producer…………………………contact email & mob phone no…………..

Year of Production………………….. Country of Production……………………..

Duration………… Original Language……………….

Participation in other festivals and awards won if


any…………………………………………………………………………….

Category applied for: Competition (only for films produced in India):

Long Documentary (over 40mts)……….. Short Documentary (under 40mts)


…………………. Short Fiction (under 70mts)………….. Animation………….. Music
Video…………….

Campus Film Competition (above Higher Secondary level educational institutions


located within Kerala)

Short Fiction (20min and below) ……………


Out of Competition: (National and International Section)

Long Documentary (over 40mts)……….. Short Documentary (under 40mts)


…………………. Short Fiction (under 70mts)………….. Public Interest spots
…………… Student Production…………… (Please attach proof of being a Bonafide
student during production) Animation………….. Music Video…………….

Please refer rules and regulations

Are you agreeable to the film being shown in any section other than that applied for:
Yes…….. …No ………..

Original Format miniDV …… HDV …… DV…… Betacam……….. Digibeta………


35mm….16mm…..

If selected the film will be submitted in: DV ….. …. Betacam (SP/PAL) ……

Production Crew:

Scriptwriter………….

Cinematographer………

Editor………..

Sound Designer and mixer…………..

Animation …….

Music …………..

Others (you may choose to include) ……………………….

Synopsis: Please attach a one-page synopsis of the film and a note on the Director
with detail contact address and stills.
Preview

Format………. DVD/VCD with Eng subtitles……………. Dubbed in


Eng…………………..

On intimation of selection the DV/Beta (SP/PAL) should be sent to the Academy on


or before the 25th June 2011. List of Selected films will be available on the website
by 20th June 2011

To: Secretary ,Kerala State Chalachitra Academy, Mani Bhavan, Thiruvananthapuram,


Kerala 695010 Ph: 0091 471 2310323, Fax: 0091 471 2310322 www.iffk.in
www.keralafilm.com, iffkoffice@gmail.com

Address and contacts (including email and mob ph.no) of the authorized person who
should be informed of selection and will be supplying the final screening material.

Name:……………………………………………..

Address:……………………………………………………………………………………
……………………………………………………………………………………………..

Email id and mob phn no: …………………………………….

Please attach a self attestation of date of production for films being entered in
competition.

Please attach a certificate from the Institution for films entered in Campus Film
Competition (refer rules and regulations).
Undertaking:

I have read the Rules and Regulations of the 4th Doc and Short film festival of Kerala
and agree to abide by them.

Signed Dated

Organised by the Kerala State Chalachitra Academy on behalf of the Cultural Affairs
Dept, Govt of Kerala

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