SUBMIT YOUR AFRICAN DOCUMENTARY If your film is selected for Encounters South African International Documentary Festival, the information given in this form will be reproduced in the festival programme and on this website. So it's in your own interests to complete it fully and accurately. English title* Original title Synopsis Documentary's website YouTube/Vimeo trailer Online preview Online preview URL password If you did not include YouTube or Vimeo preview links above, please post your DVD screener to: Encounters Documentary Festival Attn: Nazeer Ahmed PO Box 2228 Cape Town 8000 South Africa Language/s of the original work* Country of production* Year of production* Format* Running time* Director* Director's biography Director's address* Director's phone number* Director's mobile* Director's fax number Director's email* Producer's name* Production company name* Producer's phone number* Producer's mobile* Producer's fax Producer's email* Distributor* Distribution company Distributor's phone number* Distributor's fax number Distributor's mobile* Distributor's email Credits: Camera Credits: Editor Credits: Sound Credits: Researcher/s Credits: Music Co-producer: television company Co-producers: other/s Place and date of first screening Festivals and other events where the film has screened Prizes & distinctions Has the film been screened in South Africa? If yes, please specify.* Will the film be screened in South Africa before Encounters 2013? If yes, please specify.* Worldwide copyright: Company name, contact person and address* Does the filmmaker grant permission to Cape Town Community TV (CCTV), a not-for-profit organisation, to screen the film? Please visit www.capetowntv.org for more info.* Yes No South African distributor/broadcaster (if applicable) Entity responsible for festival liaison* Director Producer Distributor Other If you selected Other above, please specify the name, address, title, email and phone number of your festival liaison By submitting this form, you acknowledge that you have read and agreed to Encounters' festival submission guidelines and certify that you are authorised to submit this work to the Encounters South African International Documentary Festival, and that any copyrighted materials included in the work have been legally cleared for use.