Formulaire d`inscription Next Generation 2014

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Formulaire d`inscription Next Generation 2014
“Next Generation” Festival
National & International Student Films Competition
April 28th > May 3th, 2014
Submission Form
Please send the legibly completed application form and a DVD copy, before February 1st
2014, at this address:
Next Generation
Avenue Delchambre, 7A
4500 Huy
Belgium
The following documents must be sent either to the address above or by e-mail to
[email protected]:
> Director’s biography
> Synopsis
> Complete dialogue script in French or English
> A director’s picture and a still picture from the movie
1. FILM
0 Fiction
0 Documentary
0 Animation
0 Experimental film
Original title: ........................................................................................................................
French title: .........................................................................................................................
Original language: ...............................................................................................................
Country: ..............................................................................................................................
Year: ....................................................................................................................................
Running time: ......................................................................................................................
Award(s) obtained: .............................................................................................................
.............................................................................................................................................
Synopsis: ............................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
1
2. LANGUAGE
Dialogues: ...............................................................................................................................
Subtitles: .................................................................................................................................
3. DIRECTOR
Name and First name*: ..........................................................................................................
Address*: ................................................................................................................................
Phone*: ..................................................................................................................................
E-mail*: ...................................................................................................................................
Birth: ......../......../............ Nationality*: ..............................................................................
Account number: ....................................................................................................................
4. SCHOOL
Name*: ....................................................................................................................................
Address*: .................................................................................................................................
Phone*: ...................................................................................................................................
Fax: ..........................................................................................................................................
E-mail: .....................................................................................................................................
Website: ..................................................................................................................................
Contact person*: ....................................................................................................................
Phone*: ..................................................................................................................................
Fax: .........................................................................................................................................
E-mail*: ...................................................................................................................................
5. TECHNICAL STAFF - CAST
Script: .....................................................................................................................................
Editing: ...................................................................................................................................
Music: .....................................................................................................................................
Animation: ..............................................................................................................................
Photography: ...........................................................................................................................
Sound: .....................................................................................................................................
Cast: ........................................................................................................................................
.................................................................................................................................................
I, .................................................................................... declare to have read the conditions
and subscribe to them.
Date and signature
* COMPULSORY mentions.
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