APPLICATION

FORM

COMPLETE NAME:

COMPLETE MAILING ADDRESS:

CITY / REGION:

SCHOOL / COMPANY:

CONTACT NUMBER/S:

EMAIL ADDRESS:

SOCIAL MEDIA ACCOUNT

(Facebook, Twitter, Instagram)

TITLE OF THE FILM:

BRIEF DESCRIPTION OF THE FILM

(Kindly limit to one or two
sentences only)

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Kindly submit your duly accomplished application form together with a copy OR downloadable link of
your film to activevista@dakila.org.ph.

For inquiries, contact Dakila at (+63) 917 863 8055 / (+63) 915 178 0240 or (02) 435 4309.