UK Nepal
Climate Change
Film Competition
3 minutes shorts

Fill Online Form

ENTRY FORM

ENTRY CLOSED. THIS FORM WILL NOT BE SUBMITTED TO US.
Please read the regulations carefully before filling this form. Use a separate form for each entry. This form can be photocopied if extra copies are required. Entry forms are also available on the internet at http://www.himalassociation.org/climatechange. Please use separate sheet(s) where necessary. Type or print, and tick as may be appropriate.

ONLINE FORM

Film Info
Original Title of Film
Title in English
Name of the Filmmaker
Year of Production
Film Duration (hh:mm:ss)
Original Language
Sub-titles (if any):		Nepali subtitle English subtitle
Has the film been submitted to any other competition or agency?		Yes No
If yes, please elaborate
The format in which the film was shot
Contact Info
Name of person/organization
Mailing address
Tel
Fax
Email
Mobile
Copyright Information (if different) :
Name of person/organization
Mailing address
Tel
Fax
Email
Mobile
Please provide a brief description of the film:
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By signing below, I accept all the regulations of the UK Nepal Climate Change Film Competition.

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Send your entry to:
Chetez Tamang
Himal Association
Patan Dhoka, P.O. Box 166, Lalitpur,
Kathmandu, Nepal
Tel: 977-1-5537408; Fax: 977-1-5541196

Email: climatechange@himalassociation.org
Web: http://www.himalassociation.org/climatechange

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