National Film Award Entry Form
Award Series
1. Title of the Film:
2. Language:
3. Whether subtitled in English language:
4.(a) Section for which the film is being entered:
(b) The specific category of Award(s), given in Schedule I or II, for which the film is to be considered (An entry without this information is liable for rejection)
(c) Whether it is the First Dubbed Film:
5. Length of the film in meters(if on a film format):
6. Running Time :
7. Number of Reels/tapes:
8. Format
9. Print
10. Censor Certificate No.:
10. Censor Certificate Date:
Amount:
d. Demand Draft No.: Demand Draft Date:
4. Producer Company Registration Details
Title Registration Details:
Company Name :
Email :
Address : Country :
State : City :
Mobile : Postal Code :
Phone : Fax :
IsRegister : RegistrationNo :
5 Producer Contact Detail
Title : First Name : Last Name :
Address :
Email : Country :
State : City :
Mobile : Postal Code :
Phone : Fax :
Director Contact Detail
Title : First Name : Last Name :
Address :
Email : Country :
State : City :
Mobile : Postal Code :
Phone : Fax :
(ii) In Case of more than one producer and in case the film wins an award, please state name of ONLY one producer who would receive the award on behalf of other producers
Is Screenplay Writer Original
(i) Screenplay writer(For Original Screenplay)
(Please write name of the Original Screenplay writer)
Is Adapted Screenplay Writer Original
(ii) Screenplay writer(For Adapted Screenplay)
(Please write name of the Adapted Screenplay writer)
(iii) Dialogues(Please write name of the dialogue writer)
(d) Leading Actor:
(e) Leading Actress:
(f) Supporting Actor:
Voice-original/dubbed
(g) Supporting Actress:
Voice-original/dubbed
(h) Child Artist:
Voice-original/dubbed
(i) Cameraman:
(j) Audiographer:
(i) Location Sound Recordist(for sync sound films only)
(ii) Sound Designer
(iii) Re-recordist of the final mixed Track
(k) Editor:
(l) Production Designer:
(m) Costume Designer:
(n) Make-Up Director:
(i)Music Director (Songs)
(ii) Music Director (Background Scrore)
(iii) Whether Is the CD Enclosed:
(p) Lyricist:
(p .(i)) Are Lyricist Enclosed in:
(p .(ii)) In Case Lyricist are in Other Than Language than English/Hindi Whether Translation are Enclosed:
(q) Male Playback Singer:
(r) Female Playback Singer:
(s) Animator(in case of an animation film):
(t) Choreographer:
(u) Special Effects Creator:
Is Narration/Voice Over Artist:
(v) Best Narration/Voice Over Artist:
14. Date of release of the film:
23.1 Print Return To Contact Detail
Title : First Name : Last Name :
Address :
Email : Country :
State : City :
Mobile : Postal Code :
Phone : Fax :
16. Undertakings in Schedule-IV and Schedule-V are enclosed:
17. I/we have no objection to the screening of this film for the jury or for any of their panels, in non-commercial public shows or in any other way the Directorate may consider fit.
18. (a) I/We have gone through the National Film Awards Regulations and I/We accept these Regulations.
(b) I/WE AGREE TO ABIDE BY THE DECISION OF JURY OF NATIONAL FILM AWARDS AS FINAL AND BINDING.
(c) THE DECISION OF THE JURIES SHALL BE FINAL AND BINDING AND NO APPEAL OR CORRESPONDENCE REGARDING THEIR DECISION SHALL BE MADE BY ME/US.
19. I/We certify that the film entered is not a dubbed/revised/copied/remade version of a film.
20. I/We certify that the film entered is not a remake of a film that has already won an award.
21. I/We certify that the footage acquired for the film has proper permissions and due credits have been given in the film.
22. I/We certify that the musical score used is original.
23. I/We hereby declare that the information provided is true to the best of my/our knowledge and corresponds with the credit titles of the film. I/We also understand that the Directorate has the right to reject any entry, at any stage, if the information entered in this form is found to be incomplete or incorrect.
Person Making Entry Contact Detail:
Title : First Name : Last Name :
Address :
Email : Country :
State : City :
Mobile : Postal Code :
Phone : Fax :
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