Application form

 

KIBRIS MEHMETÇÝK BELEDÝYESÝ ALTIN SALKIM  BELGESEL FÝLM YARIÞMASI
BAÞVURU FORMU

 
Yarýþma Kategorisi
Profesyonel (max. 50') :
 
Amatör (max. 50') :
 

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Film Adý :.........................................................................
Ýngilizce Adý :.........................................................................
Özgün Dili :.........................................................................
Süre :.........................................................................
Yapým Yýlý (Ocak 2002'den Sonra) :.........................................................................
Ödüller :.........................................................................
VCD
 
 
DVD
 

Yönetmen Adý:…………………………………………………………………….
Adres.........:…………………………………….....……………………………….
Tel ............:
……………………................... Fax....... : ........…………………….
E-posta......:
…………………..................…. Cep Tel : ........................................
Filmografi . :
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Yapýmcýnýn Adý :
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Þirket/Kuruluþ :
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Adres :
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Tel :
............................................. Fax : ...............................................
E-posta :
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Senaryo Yazarý :
..................................................................................
Görüntü Yönetmeni:
...........................................................................
Müzik :
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Kurgu :
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Daðýtým :
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Öðrenci ise
Üniversite Adý.:
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Fakülte Adý.... .:
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Bölüm Adý...... .:
….............................................................…………..
Filmografi .:
………………………………………………….……… …………………………….....................……………........……………

Ýletiþim (Ödül kazanýldýðý taktirde baðlantý kurulacak kiþi)
Tel :…………………..............…. Fax :…………………….
E-posta :
……………………. Cep Tel :…………………….

Kýbrýs Mehmetçik Belediyesi Uluslararasý 2. Altýn Salkým Belgesel Film Yarýþmasý koþullarýný okudum ve kabul ediyorum.

Tarih .............................................................................................................Ýmza

 

 

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