2 Registration Form 2015

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Registration Form Festival Deadline on July 31, 2015 1. Film Original Title: The 3 stages Running Time: 12 min 32 sec Year of Production: 2015 City and Country of the Production: Surat, India Filming System (make a cross): Digital Dialogues: No Original Film Language: English Film Genre: Fiction Film In case of film director has Spanish nationality make a cross in here: N/A Film Summary: It is an abstraction of evolution of addiction 2. Film Direction Director´s Name: Binoy Nambiar Script´s Name: The 3 stages Telephone number: +919537689475 E-mail address: [email protected] 3. Film producer and Contact person Producer´s Name: Binoy Nambiar Contact person: Binoy Nambiar E-mail address: [email protected] Telephone number: +99537689475 I (We) warrant authorship and sole property of applied film-work; and the production of film has concluded not before 1 st January, 2014. 4. Film Festivals your short film has been selected. - Is it the first time your shortcut film to be screened in a Film Festival? Yes INFORMATION-SENDING ADDRESS: XVII CERTAMEN INTERNACIONAL DE CORTOS

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Transcript of 2 Registration Form 2015

Registration FormFestival Deadline on July 31, 20151. FilmOriginal Title: The 3 stagesRunning Time: 12 min 32 sec Year of Production: 2015 City and Country of the Production: Surat, IndiaFilming System (make a cross): DigitalDialogues: No Original Film Language: English

Film Genre: Fiction Film In case of film director has Spanish nationality make a cross in here: N/A

Film Summary: It is an abstraction of evolution of addiction

2. Film Direction Directors Name: Binoy NambiarScripts Name: The 3 stagesTelephone number: +919537689475E-mail address: [email protected]

3. Film producer and Contact personProducers Name: Binoy NambiarContact person: Binoy NambiarE-mail address: [email protected] number: +99537689475I (We) warrant authorship and sole property of applied film-work; and the production of film has concluded not before 1st January, 2014.

4. Film Festivals your short film has been selected. -Is it the first time your shortcut film to be screened in a Film Festival? Yes

INFORMATION-SENDING ADDRESS: XVII CERTAMEN INTERNACIONAL DE CORTOS CIUDAD DE SORIAConcejala de Juventud. Ayuntamiento de Soria.Plaza Mayor, 8. 42002 Soria. SpainTel.: (+34) 975 239683; (+34) 975 233 069E-Mail address: [email protected]@certamendecortossoria.org


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