NATIONAL AWARD FOR THE BEST WRITING ON CINEMA

ENTRY FORM

  1.      In the case of entries for the Award for Best Book on Cinema:

 (1) Title of the Book ( in Block letters ):

     (a) In the original language:

(a)   In English:

 (2) Language:

 (3) Name of the Author:

     (Whether citizen of India)

 (4) Date of Publication:

 (5) Number of Pages:

 (6) Price:

 In the Case of entries for Award for Best Film Critic:

      (1)   Name of Writer / Critic:

(Whether citizen of India)

      (2) Title of Article /        Language in        Name of News                      Date of

            review                    Which Written       paper etc.                         Publication

                                                                        in which Published

 (7) Name, address & Telephone number of the Author / Critic:

 (8)      D.D. No. And Date:

         Bank on which drawn:

 (9)  Name, address & Telephone number of the Publisher of the book / editor(s) of the newspaper(s) alongwith citizenship status etc.

 10. Name, full address & Telephone number of the person making the entry:

Date:                                                                                                       Signatures

NATIONAL AWARD FOR BEST WRITING ON CINEMA

REGULATIONS

(See Regulation 22 (c) )

DECLARATION

1.      I HEREBY DECLARE THAT

1. I HAVE SEEN THE COMPLETE LIST OF ENTRIES FOR THE NATIONAL AWARDS FOR THE BEST WRITING ON CINEMA MADE AVAILABLE TO ME BY THE DIRECTORATE OF FILM FESTIVALS.  TO THE BEST OF MY KNOWLEDGE I AM NOT DIRECTLY OR INDIRECTLY ASSOCIATED IN ANY MANNER NOR DO I HAVE ANY FINANCIAL INTEREST WITH ANY OF THESE ENTRIES.

2. I AM NOT RELATED EITHER BY BLOOD (Sons, Daughters, Maternal/Paternal Uncles/ Aunts, First Cousins, Nephews, Nieces, Grand Mothers, Grand Fathers, Parents, Brothers, Sisters) OR MARRIAGE TO ANY OF THOSE WHOSE WORK HAS BEEN ENTERED FOR SELECTION.

3. I HAVE GONE THROUGH THE REGULATIONS OF THE 52^nd  NATIONAL AWARD FOR THE BEST WRITING ON CINEMA AND I WILL ABIDE BY THEM.

4. I WILL KEEP THE DELIBRATION OF THE JURY CONFIDENTIAL.

 NEW DELHI

 DATED

SIGNATURE -------------------------

NAME AND ADDRESS------------

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TELEPHONE-------------------------

LOCAL ADDRESS -----------------

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