1st Abuja International Film Festival
October 2005

Sign and attach 2 passport photo.

Male Female

Surname Name

First Name

Country of origin

Name of Organisation/company

Address

Zip code Town

Tel Fax

Email Website

Category of festival participant:

Producer Director Film maker Actor/Actress Buyer Exhibitor Resource person Journalist Advertiser

Others (specify)

Media House:

Print TV Radio Freelance Others (specify)

Name of Media House

Position & designation

*Applicants should return this form signed with two passport photogrphs for accreditation identity card

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