HUMAN RIGHTS WATCH INTERNATIONAL FILM FESTIVAL
FILM SUBMISSION FORM




FILM INFORMATION

......................................................................................................... Entry

......................................................................................................... Entrant
(If not the filmmaker or distributor please attach card with name and address etc.)

....................... Length ............... Release Date

..... Color .....B/W

..... 35mm ..... 16mm ..... 3/4" Exibition Formats

............... Aspect Ratio (for film)

..... NTSC ..... PAL ..... SEECAM (for video)



For Work-in-progress:

....................... Expected Completion Date

....................... Length (as of March 1997) .......... Percentage Complete (as of March 1997)

..... 35mm ..... 16mm ..... 3/4" Planned Exhibition Formats



For Foreign Work:

..... English Soundtrack .....English Subtitles .....None

If none, when will the work have English soundtrack or subtitles?

............................................/................................................... Date/Type




DIRECTOR/FILMAKER INFORMATION

............................................/................................................... Last /First Name

............................................/................................................... Title/Organization

............................................................................................... Address

...............................................................................................

...............................................................................................

...............................................................................................

............................................................................................... Country


............................................/................................................... Home/Business Phone

............................................/................................................... Fax/Email




DISTRIBUTOR INFORMATION

............................................/................................................... Last /First Name

............................................/................................................... Title/Organization

............................................................................................... Address

...............................................................................................

...............................................................................................

...............................................................................................

............................................................................................... Country


............................................/................................................... Home/Business Phone

............................................/................................................... Fax/Email




FILM DESCRIPTION
Briefly describe the work (40 words or less)












Briefly describe the human rights content













DISTRIBUTION HISTORY
Include Festivals and awards, non-theatrical and broadcast distribution.







I hereby authorize the Human Rights Watch International Film Festival to publicly present the submitted work. I also warrant that this exhibition at the Festival will not violate any copyright or any other right of any person, firm or corporation.



....................................................................................../................... Signature/Date

.......................................................................................................... Type or Print Name