APPLICANT INFORMATION
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Email *
COUNTRY *
CITY, POSTAL CODE *
ADDRESS *
NAME OF THE PERSON IN CHARGE *
POSITION OF THE PERSON IN CHARGE
TELEPHONE *
E-MAIL, WEB *
EVENT INFORMAION
EVENT / PROJECT TITLE *
LOCATION *
Required
FORMAT OF EVENT *
Required
COUNTRY *
CITY *
SCREENING(S) LOCATION, ADDRESS *
SEATING CAPACITY *
NUMBER OF EVENTS *
TICKETS SALE *
Required
TICKET PRICE *
SCHEDULE: DATE AND TIME OF THE SCREENING(S) *
MM
/
DD
/
YYYY
METHODS OF PROMOTION
ESTIMATED AUDIENCE
FORMAT OF PARTNERSHIP WITH DOVZHENKO CENTRE
PARTNERSHIP
COLLABORATION
ADDITIONAL TERMS AND WISHES
DO YOU NEED ADDITIONAL INFORMATION SUPPORT *
RECEIVING OF THE FILM COPY BY THE APPLICANT
THE FILM COPY WILL BE RECEIVED AT (ADDRESS):
DATE OF ISSUE
MM
/
DD
/
YYYY
RETURN DATE
MM
/
DD
/
YYYY
 TYPE OF DELIVERY
COURIER INFORMATION ()
APPENDIX #1
FILM(S) INFORMATION
FILM(S) TITLE, YEAR, DIRECTOR (1-10 ITEMS)
DIGITAL FILM FORMAT
DIGITAL FILM RESOLUTION
FILM SIZE
OWNER OF THE FILM COPY
SUBTITLES
LANGUAGE OF SUBTITLES
DIALOG LIST
APPENDIX #2
INFORMATION ABOUT ARCHIVE MATERIALS
1. TYPE OF ARCHIVE MATERIALS
  2. FORMATS OF ARCHIVAL MATERIALS
APPENDIX #3
APPLICATION FOR PROJECT IMPLEMENTATION IN DOVZHENKO CENTRE’S SPACE
FORMAT PROJECT
PROJECT STATUS
PROJECT NAME
SENTENCES OF UP TO 10 WORDS THAT REFLECT THE ESSENCE OF THE PROJECT
PROJECT SUMMARY
THE RELEVANCE OF THE PROJECT
PERIOD
PARTICIPANTS
MEDIA USED IN THE PROJECT
TECHNICAL REQUIREMENTS
TARGET AUDIENCE
BUDGET
THE EXPECTED PARTICIPATION OF DOVZHENKO CENTRE
OTHER PARTNERS
OBLIGATORY CONDITIONS
WE, THE UNDERSIGNED, (full organization title)
ensure the reliability of the provided information and are aware that the Dovzhenko Centre undertakes to make a decision on assigning the film copy(ies) over a period of time from 5 till 20 days. We undertake such obligations on the use of film copy(ies) named in the FILM INFORMATION section: We guarantee safety and return of the film prints within the specified period (it’s not applicable for digital copy which is transferred via FTP-server); In case of damage of film prints and / or film copy during transport or use, we agree to recover the cost of copying of damaged film prints according to the rate (it’s not applicable for digital copy which is transferred via FTP-server; We guarantee to report the response to the event in the media – press clipping (print and digital); We guarantee to submit the original paper application form not later than 20 days after filling the online application, to consider the online application valid until the receipt of the original paper application, and to ensure the identity of the online and paper applications; We guarantee to specify National Oleksandr Dovzenko Centre and the State Film Agency of Ukraine, as partners of the Event on all information carriers (if any), accompanying the Event; We guarantee to agree with the Dovzhenko Centre the text announcement and design layout of the information carriers that are directly related to the screening of the issued film copy(ies) before they are published and / or printed; We guarantee not to copy, duplicate and distribute to third parties the provided film copy(ies) using video carriers and / or global (Internet) and local area networks; We guarantee to delete the provided digital film files from the carrier after the screening(s) within the planned event (if the carrier is owned by the applicant).INSURANCE COST OF 35 PRINTS – 3000 EURO PER ITEM. INSURANCE COST OF DIGITAL MATERIALS – 300 EURO PER ITEM
NAME AND POSITION OF THE PERSON IN CHARGE *
I AGREE WITH CONDITIONS OF PARTNERSHIP *
Required
A copy of your responses will be emailed to the address you provided.
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