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FESTIVAL INTERNACIONAL DE CORTOMETRAJES
                    DE TRUJILLO


                       FICHA DE INSCRIPCION



Titulo del cortometraje : _____________________________________


Genero :


Ficción    (       )     Documental (     )       Animación   (   )


Minutos Duración: _________________________________________


Color: (       )                  B/N (       )


Cámara: ___________________________________________________


Director: ___________________________________________________


     Domicilio Director: ____________________________________


      Código Postal: ________________________________________


     País Director: _________________________________________


     Teléfonos Director: ____________________________________


     Email Director: ________________________________________
Web Director : _________________________________________


Primer Cortometraje: _______________________________________


Festivales en los que ha participado : ________________________


Premios Obtenidos: _________________________________________


Productor: _________________________________________________


     Domicilio Productor: ___________________________________


     País Productor: ________________________________________


     Teléfonos Productor: ___________________________________


     Email Productor: _______________________________________


     Web del Productor : ____________________________________


Guión: ____________________________________________________


Basado en: _________________________________________________


     Fotografía: ____________________________________________


     Iluminación: __________________________________________


     Sonido: _______________________________________________
Música: _______________________________________________


     Montaje: ______________________________________________


     Interpretes: ____________________________________________


     Fecha Producción: ____________________________________


     Sinopsis: _____________________________________________


     DATOS PERSONA QUE INSCRIBE EL
     CORTOMETRAJE


Nombre y apellidos : _______________________________________
__________________________________________________________
Dirección : _______________________________________________
__________________________________________________________
Teléfono / Celular :______________________________________
__________________________________________________________
Email : ____________________________________________________
__________________________________________________________
Web : ______________________________________________________

Documento identidad : ______________________________________

     Declaro que todos los datos son verdaderos y que tengo los
     derechos sobre el cortometraje que inscribo acepto las bases del
     “Festival Internacional de cortometrajes Trujillo “

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Festival internacional de_cortometraje_ssss

  • 1. FESTIVAL INTERNACIONAL DE CORTOMETRAJES DE TRUJILLO FICHA DE INSCRIPCION Titulo del cortometraje : _____________________________________ Genero : Ficción ( ) Documental ( ) Animación ( ) Minutos Duración: _________________________________________ Color: ( ) B/N ( ) Cámara: ___________________________________________________ Director: ___________________________________________________ Domicilio Director: ____________________________________ Código Postal: ________________________________________ País Director: _________________________________________ Teléfonos Director: ____________________________________ Email Director: ________________________________________
  • 2. Web Director : _________________________________________ Primer Cortometraje: _______________________________________ Festivales en los que ha participado : ________________________ Premios Obtenidos: _________________________________________ Productor: _________________________________________________ Domicilio Productor: ___________________________________ País Productor: ________________________________________ Teléfonos Productor: ___________________________________ Email Productor: _______________________________________ Web del Productor : ____________________________________ Guión: ____________________________________________________ Basado en: _________________________________________________ Fotografía: ____________________________________________ Iluminación: __________________________________________ Sonido: _______________________________________________
  • 3. Música: _______________________________________________ Montaje: ______________________________________________ Interpretes: ____________________________________________ Fecha Producción: ____________________________________ Sinopsis: _____________________________________________ DATOS PERSONA QUE INSCRIBE EL CORTOMETRAJE Nombre y apellidos : _______________________________________ __________________________________________________________ Dirección : _______________________________________________ __________________________________________________________ Teléfono / Celular :______________________________________ __________________________________________________________ Email : ____________________________________________________ __________________________________________________________ Web : ______________________________________________________ Documento identidad : ______________________________________ Declaro que todos los datos son verdaderos y que tengo los derechos sobre el cortometraje que inscribo acepto las bases del “Festival Internacional de cortometrajes Trujillo “