FILM SOUTHASIA 2013

ENTRY FORM
Submission deadline: 30 June 2013
Please read the regulations carefully before filling this form. Information provided will
also be used for the festival catalogue if your submission is selected. Use a separate
form for each entry. This form can be photocopied if extra copies are required. Entry
forms are also available on www.filmsouthasia.org. Please use separate sheet(s)
where necessary. Please type or print and tick when appropriate.
Original title of documentary film
OBESITAS STIGMATIZED
Title in English
OBESITY STIGMATIZED
Series title (if applicable)
NA
Year of production

2013

Duration

04 MINUTE 08 SECONDS

Original language

SILENT/ENGLISH

Entry is with:

English sub-titles

(Wherever necessary)

Has the film had a premiere? If yes, when and where?

NO
Which other festival(s) has the film been shown in before?
NOWHERE
Awards
NA

The film was shot in (Please give specific format of film or tape)
HDSLR CANON 550D

Aspect ratio of the film:

4:3

16:9

Direction by
Camera TANMAY SHARMA

TANMAY SHARMA

Editing

TANMAY SHARMA

Sound

ROYALTY FREE (KEVIN MCLEOD & CCMIXTER); TANMAY SHARMA

(DESIGNING)

Script

TANMAY SHARMA

Producer RUCHIKA PRIYA

Other

___________________________________________________________________________

Copyright holder
Name of person/organisation
TANMAY SHARMA
Mailing address
FLATNO.570, SEC-13, PKT-A, DDA FLATS, PHASE-2, DDA FLATS, PHASE-2, ROSEWOOD
APARTMENTS, DWARKA, NEW DELHI 110078 (INDIA)
Tel 0919873014304; 0919833898520

Fax ____________________________

Email TANMAY.SH5@GMAIL.COM
Website WWW.FACEBOOK.COM/TANMAY.SH5
Further correspondence should be done with (if different) - NOT
APPLICABLE
Name of person/organisation
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Mailing address
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Tel ____________________________

Fax ____________________________

Email
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Website
_______________________________________________________________________________
Key individual(s) who would represent the film at the festival (name and
relation to film)
______________________________________________________________________________________
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Description of film (300 words max)
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Note on director
(Other films, awards, and other relevant information)
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If selected, do you agree to allow your film to be screened noncommercially at other venues in Southasia and overseas as part of
Travelling Film South Asia after FSA 13?
(A Yes or No will not influence selection)
Yes

No

Name, address and phone number of the person/organisation the final entry
should be returned to:

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I guarantee that, if my entry is selected, I will send the film to FSA in the
following format by 31 August 2013:
Mini DV

DV Cam

By signing below, I accept all the regulations of Film South Asia and
commitments made above.

Authorised signature
Date

_________________________________________

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Your submission will be complete once we receive 2 copies of your film in DVD format
in the mail. Ideally, we would like to receive this within 2 weeks of receiving your
submission form.
Please send in your film using a reliable courier service to:
Film Southasia Secretariat
GPO Box: 8975 EPC 1516
Arun Thapa Chowk, Jhamsikhel
Lalitpur
Nepal
Phone: +977 1 5013501