::AFRICAST::PROGRAMMES COMPETITION

All field(s) with (*) is/are required.

AFRICAST 2010 PROGRAMMES COMPETITIONENTRY FORM

* Programme Title

Original Title (If not in English language)

* Category of Entry

* Duration of Original Version (if entry was abridged)

* Name of Producer

* Address of Producer

* Name of Director

* Address of Director

* Script Writer

* Camera/Photography

* Editor

* Main Actor(s)/Talent(s)

* Narrator

* Production Date

* First Broadcast Date

* Station of Broadcast

* Name of Right Owner

* Address of Right Owner

* Telephone of Right Owner

* E-mail Address of Right Owner

* Signature of Right Owner (upload scanned signature)

* Declaration

I/ We declare that:
I/we shall abide by the competition regulations (attached)
I/We shall accept the decisions of the Judges

I/We (am/ are) the right holder(s) of the programme

agree

disagree

* Signature (upload scanned signature)

* Date