Jeevika: Asia Livelihood Documentary Festival 2013

Film Entry Form

Festival: 29 August - 1 September 2013, Delhi

Submission Deadline: 20 June 2013
Late Submission Deadline: 28 June 2013 08 July 2013
Please go through the guidelines carefully before completing this form

Filmmaker Type:
Professional Filmmakers
(Submission Fee: INR 1000 / US$ 25)
(Late Submission Fee: INR 1500 / US$ 50)
Student Filmmakers
(Submission Fee: INR 500 / US$ 15)
(Late Submission Fee: INR 1000 / US$ 25)
Entry Type:
General Entry
(Screening Committee may select the film to be
screened under this non-competitive section)
Competition Entry
(Enables the jury to evaluate
and award the film)
Title of the Documentary in Original Language:
Title of the Documentary in English:
Original language of the Documentary:
Duration of film (HH/MM):   Date of Production:
Geographical area of the film (city, country):
Aspect ration of the film: 4:3 19:9
Previous broadcasts or screenings (including other festivals and competitions):
In India:  
In any other country:  
Prizes won in film festivals/otherwise:  
Synopsis (up to 100 words in English)  
Please give some information on the background and context in which the documentary was made:  
Director of the Documentary: (In case of more than one director, please provide both names indicating the primary director, if any)
Name / Names:
Contact Address:
City / Town - State:   Postal Code:
Country:   Contact Number (Mobile preferably; Include country code):
Email:   Date of Birth:
Educational institution (if you are a student) or Organisation with which you are associated
Contact Address:
City / Town - State:   Postal Code:
Country:   Telephone (Include country code and area code):
Email:   Website  :
Course / degree currently being pursued (for students):
Main Crew Members with Designations (Cinematography, Editing and Others) :
PRODUCTION (Financial Support for the Documentary)
Source: Educational Institution Organisation Funding Agency Self
Producer Name / Organisation:
Telephone (Include country code and area code):    
Email:   Website:
Approximate budget in which the film was made:    
Nature of rights held by producer:    
How did you find out about Jeevika 2013:
Please attach your resume with filmography, if any. (only doc / docx / pdf file format accepted):  
Declaration for Participation:
I have read and understood the Jeevika 2013 guidelines and agree to abide by them. The copies of the documentaries (DVD only) will be kept in the CCS archives and they may be used for screenings at CCS and its partners programs.  A brief segment of the entry / promo may be used for promotional purposes. I hereby attest that all information given is to the best of my knowledge accurate and complete.