Original Title  

Title in English

 Subject

Country of Origin

 Year of Production

 Director

 Producer

 Cinematographer

 Production Information

  Editing  Sound Script

 Animation            Music Others

 Duration

 Film Summary (50 words) 

Note on Film Director (Please mention other films, awards, important achievements and other relevant information)- 50 words

 Film Format  

16mm       35mm

 Video Format  

Beta-SP/PAL   U-matic  Hi Band

  Has it won any awards? (Please specify)

 CONTACT INFORMATION  

Name

Mailing Address

Tel Fax email *

  I AGREE TO BE LISTED IN THE DATABASE 

I WOULD LIKE TO DISTRIBUTE MY FILM THROUGH YOUR CLEARINGHOUSE *****

*****Note: for the second option above, we shall mail you the terms and conditions for the distribution of films.

Date: