Pre-Registration Form

Sponsored by Knowledge Capital Association, KMO Corporation
INTERNATIONAL STUDENTS CREATIVE AWARD 2014
Pre-Registration Form
Please enter this contest as a school.
Schools wishing to participate must register in advance. Please fill out the items below and
send in.
Must be received by fax or e-mail no later than Aug. 19 (Tue.) Fax: +81-6-6229-1802 E-mail: [email protected]
Name of
School
Faculty/Dept.
Name of
Teacher in
Charge
Please submit all entries together.
Name
(Include name
in katakana)
Katakana
No. of Entries
Video Content Category:
Position
Address
Contact
Information
Tel
Fax
Mobile phone
E-mail（mobile phone/PC）
Please write what days and times of the week you can be contacted. Include any other contact
details.
Notes
Personal information disclosed by the sponsor to the Office (Superstation, Inc.) will be
used only as required for purposes (judging, screening, exhibition) of this award.
Contact: Mr. Ikeshima ([email protected])
Tel: +81-6-6229-1802 Fax: +81-6-6229-1802
Mitsui Bussan Bldg. 4th floor, 2-3-33 Nakanoshima, Kita-ku, Osaka 530-0005, Japan
Organizing Office of INTERNATIONAL STUDENTS CREATIVE Award 2014
(Within the offices of Superstation, Inc.)
Sponsored by Knowledge Capital Association, KMO Corporation
INTERNATIONAL STUDENTS CREATIVE AWARD 2014
Entry Form
For Students
When applying:
Video Content
Category
• Fill out all items, referring to the entry requirements.
• Pay special attention to copyrights and the uses of entries.
• Use one Entry Form and Entry Description Sheet per entry.
Be sure to send your entry with this form.
Deadline for entry submission:
Must be received no later than Sep. 16, 2014 (Tue.)
University
Graduate school
Name of School
Technical college
Other
Note: Mark all that apply
Faculty/Dept./Graduate
Course
When applying as a group, please write the group's name and the name of its representative.
Name of Student
Academic Year
Name
Year/  FY2014 graduate
Gender
Male
Female
Age
Address
Contact Information
Additional Contact Info
Title of Entry
Date of Completion of Work
Tel
Mobile phone
E-mail
Fax
Please enter additional information to ensure you can be reached even during summer break.
Title
Month/Year
Play Length
Please describe the idea behind the entry or what makes it unique.
Note: Be sure to fill out the Entry Description Sheet separately.
Please list in detail any past or future contests (with dates) to which this same work was or will be submitted. List any special mentions or
awards received.
No personal information obtained through this application will be disclosed to any third parties.
• Send entries by fax or email to:
• For inquiries about application process:
Mr Ikeshima ([email protected])
Tel: +81-6-6229-1802 Fax: +81-6-6229-1802
Mitsui Bussan Bldg. 4th floor, 2-3-33 Nakanoshima, Kita-ku, Osaka
530-0005, Japan
Organizing Office of INTERNATIONAL STUDENTS CREATIVE Award 2014
(Within the offices of Superstation, Inc.)
Sponsored by Knowledge Capital Association, KMO Corporation
INTERNATIONAL STUDENTS CREATIVE AWARD 2014
For Schools
Entry Form
Video Content
Category
When applying:
• Fill out all items, referring to the entry requirements.
• Collect all student entry forms. Send with this form on top, together with all of the entries.
Deadline for entry submission:
Must be received no later than Sep. 16, 2014 (Tue.)
Name of School
Faculty/Dept./Graduate
Course
Name of Teacher in
Charge
Please submit all entries together.
Position
Name
School address
Tel
Contact Information
Fax
Mobile phone
E-mail
Title of Entry
Name of Student
(1) Title
Name
(2) Title
Name
(3) Title
Name
(4) Title
Name
(5) Title
Name
Play Length
Other: Please enter any additional information to ensure you can be contacted even during summer break.
No personal information obtained through this application will be disclosed to any third parties.
• Send entries by fax or email to:
• For inquiries about application process:
Mr. Ikeshima ([email protected])
Tel: +81-6-6229-1802 Fax: +81-6-6229-1802
Mitsui Bussan Bldg. 4th floor, 2-3-33 Nakanoshima, Kita-ku, Osaka 530-0005,
Japan
Organizing Office of INTERNATIONAL STUDENTS CREATIVE Award 2014
(Within the offices of Superstation, Inc.)
Sponsored by Knowledge Capital Association, KMO Corporation
INTERNATIONAL STUDENTS CREATIVE AWARD 2014
Entry Description Sheet
Fill out all items to submit an entry.
1. Work
Format of Master Copy
Check whichever applies.
• Film:  8 mm
 16 mm
• Video:  mini-DV  HD-DV
• Other: (
Yes ( Stereo Mono)
Sound
)
 No
Software used
CG, Animation, etc.
2. Rights
Read the entry requirements on copyright and use of the work.
If a third party owns the rights (including free materials), you must receive consent.
Please write here any additional information besides that listed above.
Additional Notes
Creator:
Music Used
Fill out even if the
music is the
entrant's original
music.
• Original music
(Note: if created
by a friend,
please attach
written consent
from the friend.)
Title:
• Existing music (Note: Only for music for which consent has been received.)
Please list the song name, composer, lyricist, source, and other details.
Note: A copy of a consent form must be attached.
 Video
 Illustration
 Photo
 Text
Other（
）
• Original (Note: if created by a friend, please attach written consent from the friend.)
Creator:
Other
Title:
• Existing materials (Note: Only for materials for which consent has been received)
Please list the creator, source, or other details.
（
）
Note: A copy of a consent form must be attached.
3. Other
Please write here any additional information besides that listed above.
Additional Notes

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