INDIA Future of Change

PHOTOGRAPHY CONTEST
REGISTRATION FORM

PlEASE READ All THE INFORMATION Personal Details

IN THE SHADED AREA CAREFullY
bEFORE COMPlETING THIS FORM. Sathishwaran
First Name
We strongly recommend that you register as early Rajalingam
Last Name
as possible by sending the completed form to:
photo@indiafutureofchange.com Date of Birth Day (DD) 28 Month (MM) 11 Year (YYYY) 1984
Registrations close on 31 October, 2010.
Gender M F

The INDIA Future of Change Photography Contest Nationality

will have two segments – one for amateurs and
the other for professionals.
Please check the box which best applies
to you to ensure that you participate
in the right segment of the competition.
Foreign passport holder
Indian passport holder living in India
Indian passport holder living overseas for less than 3 years
Indian passport holder living overseas for more than 3 years

Category

Amateur photographer
Professional photographer

Please provide us with your contact details Contact Details

where we may communicate with you as and when
required with regard to the INDIA Future of Change
Photography Contest.
Street Address No 12, Malayathamman Koil Street
Mannurpet, Ambattur Estate
Street Address Address of your residence.
Zip Code The 5/6 digit zip/pin code. 600050
Zip Code
City Name of the city where you reside.
Country Name of the country where your reside. Chennai
City
Email Email address which you frequently use
India
or the address which you wish to use to correspond Country
with INDIA Future of Change.
r.sathishwaran@gmail.com
Phone The phone number – landline or mobile Email
phone, where we may contact you if required.
91 7501378840
Phone Country Code Number

Please select the contest section/theme in which Contest Sections

you wish to participate by checking the box next
to it. You may participate in as many sections as
TRADITION and MODERNITY
you like.
Festivals of India
Homes in India
Architecture
Spirituality
Rural India
Please let us know how you came to know of the
INDIA Future of Change contests by checking the
applicable box/boxes.
This will help us see which medium of
communication employed by INDIA Future
of Change is the most effective.
Please check the box to declare that the
information provided by you is accurate and
also that you consent to participate in the INDIA
Future of Change Photography Contest.
Please email this completed registration form by
31 October 2010. Make sure all fields are filled.
You will get a confirmation mail from us on
receiving your registration form. Further contest
details, theme, eligibility, rules and regulations
and terms and conditions will be mailed to you
within three working days of submission of your
registration form.
For additional queries, please send us
an email or visit our website –
www.indiafutureofchange.com
PHOTOGRAPHY CONTEST
How did you hear about INDIA Future of Change Contests?
www.indiafutureofchange.com
Facebook: INDIA Future of Change Page
NING: www.india–futureofchange.ning.com
From your school
From your student union
From a Friend of INDIA Future of Change
From advertisements in print/online
Word-of-mouth
Declaration
I hereby confirm that the information duly filled in this registration form
is true and accurate.
Submission of Registration Form
Please email this registration form by 31 October 2010
to photography@indiafutureofchange.com
Registrations will only be accepted online.
The contest guidelines will be mailed to you within three working days
of your submission of the registration form.
Contact us
INDIA Future of Change
c/o theIdeaWorks
Second Floor, 11A Savitri Nagar Main Road
Malviya Nagar
New Delhi 110 017
INDIA
Email: contact@indiafutureofchange.com
Web: www.indiafutureofchange.com
Phone: 0091 11 4050 2148 Fax: 0091 11 4050 2164
managing partner
www.indiafutureofchange.com