11°International Film Festival of Thrissur ) 2016 January 10-16 3" National Documentary & Short Film Competition (NDSF) FILM SUBMISSION FORM Title Title in English Category :Documentary 1 Fiction 0 Animation 2] Language Year of Making Duration Name of the Director Age Contact Address: City/Village. State: Pin: Phone/Mobile Email Details of Registration Fees Mode of Payment Demand Draft 1 Credited Online 1 DD No//Transaction ID (if transferred online) Name of the Bank & Branch:.‘Synopsis of the Film (Attach separate sheets If needed) Director's Bio c | | | | Photo | | | Ll Additional Details Declaration [hereby declare that the production submitted is an original work done by me and the details provided herewith are true. | also agree with the terms and conditions given below Place: Date SignatureTerms and Conditions The preview copies will be kept in the IFFT archives to be used only for non commercial and academic purposes for research reference and film studies. It is the sole responsibility of the Applicant to secure authorization and permission from the owner(s) of any and all trademarked content or materials included within the submitted Film. Itis the sole responsibility of the Applicant to clear all content of the Film from any andall actual or potential legal claims and issues, including, without limitation, claims based upon theories of libel, defemation, invasion of privacy, violation of rights of publicity, theft of trade secrets, breach of confidence, reach of confidential relationship, and breach of express or implied contract (“Third Party Claim(s)") Festival Authorities will be permitted the right to make copies of DVDs for pre selection / selection purpose and non commercial screenings. The decision of the selection committees will be final & binding all and will not be subject to discussion Films once selected and submitted for the final screening will not be allowed to be withdrawn under any circumstances. Participation in the festival implies acceptance of stival Regulations. It is the sole responsibility of the applicant to secure clearance from the copyright holders of any copyrighted materials included within the submitted film. IFFT will not be held responsible for the unauthorized inclusion of any copyrighted materials within or relating to the submitted film. |FFT reserves the right to disqualify any film with any unauthorized inclusion of copyrighted materials Jury will determine the winning films and will be composed of individuals selected by the Festival Authorities, The decision of Jury will be final and binding all The DVDs sent for selection as well as media sent for the final screening winning film will be retained for the Festival Archive. Also, CDs / DVDs, containing photographs & publicity material received with the Entry Form will not be returned, The Festival Authorities will have the right to screen award winning films in different cities of India on non commercial basis. Cost of transportation of tapes / media and all related documents, publi from the country of origin to the Festival Office shall be borne by the entrant. materials For promotional / publicity purposes, clippings from any film entered in the festival may be shown on the National / International Television / Local network / Intemet, ete. Clippings of selected films will be put online on the official website of the festival. All disputes in respect of any matter relating to the IFFT shall be subjected to the exclusive jurisdiction of court of Thrissur. CS Biju (Director) National Documentary & Short Film Competition (NDSF) Centre For Media Studies Jubilee Block, St. Thomas College Road, Thrissur - 680001 Phone: 09526093003