This document is a registration form for a creative video contest hosted by KPTM Ipoh in 2014. It requests information such as the names and identification numbers of contest participants, their contact information, and details of their video submission like the title, file format, running time, and production credits. Participants must submit their completed entry, including a non-returnable DVD and poster, by April 21-25. Their video must be an original work between 3-5 minutes and include Malay subtitles. By signing the form, participants agree their video becomes the property of the organizers and they will abide by the contest rules.

1. Submitting form
CREATIVE VIDEO
CONTEST
KPTM IPOH 2014
CONTEST REGISTERATION FORM
Full Name (As in IC): I/C No (As in IC):
i. …………………………………………………………………. ………………………………………………………………….
ii. …………………………………………………………………. ………………………………………………………………….
iii. …………………………………………………………………. ………………………………………………………………….
iv. …………………………………………………………………. ………………………………………………………………….
v. …………………………………………………………………. ………………………………………………………………….
Name of Leader:
………………………………………………………..
Phone no (Leader):
…………………………………………………………
Address (Leader):
…………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………..
*SUBMITTION DA T E O N 14T H
AP R IL 2014

2. Submitting form
ENTRY DETAILS:
Title:
……………………………………………………………………………………………………………………………
Title:
……………………………………………………………………………………………………………………………
Others:
……………………………………………………………………………………………………………………………
Movie File Format:
……………………………………………………………………………………………………………………………
** (Please take note that you are required to submit your submission video in MP4, Flv, MPEG and AVI.
Winners of the 10 best films will be approached and will be required to enclose their details on short film
shooting such as thought of their videos, problems encountered and interesting stories that could be shared
along the shooting path, etc.)
**ON L IN E S U BM IS S IO N , please download the form and fill up the contest form from our official Facebook
page. Search (Creative Video Contest KPTM Ipoh)
**OF F L IN E S U B M IS S IO N , participants are required to submit their entry on a non-returnable DVD and still
image (softcopy) of the film together with registration form. Download and print the contest form from
www.facebook.com/ Creative Video Contest KPTM Ipoh. Complete and sign the contest form. Label your
entry with your name and title of your short film.*video size unlimited.
Language Medium:
……………………………………………………………………………………………………………………………
(Please note that all entries should include Malay subtitles)
Exact Duration of Entry:
…………… min …………… sec
(Please note that minimum running time of three (3) minutes and maximum of five (5)
minutes are required)

3. Submitting form
PRODUCTION CREDITS
Director (Should be the person to submit the entry):
NAME: ………………………………………………………………………………
I/C: ………………………………………………………………………………
Screenplay:
NAME: ………………………………………………………………………………
I/C: ………………………………………………………………………………
Cinematographer:
NAME: ………………………………………………………………………………
I/C: ………………………………………………………………………………
Editor:
NAME: ………………………………………………………………………………
I/C: ………………………………………………………………………………
Cast/Others:
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………

4. Submitting form
DEADLINE FOR ENTRIES
All videos MUST be submitted by 21th- 25
th
April at 5.30pm.
All completed entry forms, synopsis, promotional stills and / or posters, DVDs and any
other supporting materials should be sent to:
** Organizing committee reserves the right to refuse or cancel the screening of any film
which is of insufficient quality to ensure satisfactory public screening. The decision of
organizing committee in all matters relating to the Competition shall be final and
binding **
Check list (Please tick after read these check list):
1. All entries can be up to a maximum of five (6) minutes in length, excluding credits.
There is minimum running time of three (3) minutes required; submission of script
is required; Maximum of three (3) minutes video clip sharing from director is
required for Top 10 finalist.
2. The dialogue may be in Malay and English language and shall be subtitled in Malay if English
language was used in subtitle.
3. Entries must be submitted with a non-returnable still image POSTER of their film.
4. The entry must be the contestant's original work and no part or component thereof
(excluding the background music used in the entry (if any)) is copied from any other work or materi-
al.

5. Submitting form
PARTICIPANT’s AGREEMENT
I hereby certify that the above information is true, complete, and correct to the best of
my knowledge and I understand that any false statement(s) will result in my entry being
disqualified. I have also read and thoroughly understood the Entry Information & Rules
of the Creative Video Contest of KPTM IPOH 2014 and have duly abided by and/or
compiled with them. The short video copy right is belongs to organizers.
Signature:
………………………………………………………………………………….
Name:
………………………………………………………………………………….
Date:
………………………………………………………………………………….