Documentary Submission Form

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Documentary Film Submission Form

Applicant Details

Last Name: *

First Name(s): *

Address: *

Website:

Mobile Number: *

Home Number: *

Nationality: *

Representative:

Sales agent :

Company:

Phone/Email:

Film Information

Documentary (No more than 3 hours)

Original Title: *

Titles will appear in Festival publications exactly as they are entered above.

Title in English: *

Original Language: *

Film Genre (if applicable):

Director(s): *

Short Synopsis: (Maximum 100 words) *

Running time: *

Country of Production: *

Year(s) of Production: *

Theatrical Release Date(s): (if applicable)

In Iran:

Other Countries:

Festivals where the film has already participated (or will be participating):

Prizes won at the above Festivals:

Address of Correspondence:

Company:

Address line 1: *

Address line 2: *

Address line 3:

Country of residence: *

Telephone (including international code): *

Fax:

Email: *

Email (alternative): *

Declaration

Please read the following the statements below, and sign. By submitting my film to the London Iranian Film Festival.

I give permission for London Iranian Film Festival to copy the film and to send such copies to the judges of the initiative and to journalists for the purpose of reviewing the film and of promoting the Festival • I have all clearances necessary and that nothing in the film is libellous • I have NOT infringed on copyright, right of publicity or any other rights whatsoever • All persons involved in the film have authorized me, to submit this film to the Festival • I accept that no sums will be payable to any person whatsoever with respect to the screening of the film, by the Festival, or any associated third party • I accept that no responsibility will be placed with the Festival or any associated third party against any loss or damage occurring out of any failure to gain appropriate clearances, defamation of an individual, etc. • I agree to my name being used in any publicity for the Festival • I accept responsibility for the accuracy of the information supplied • Please tick this box if you give London Iranian Film Festival permission to upload your film trailer, short film or documentary for the purposes of viewing only, on our website or other websites as part of our organization.

London Iranian Film Festival cannot accept your submission without this declaration being signed. * Confirm

Digital Signature: *

Date: *

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