16th Jaipur International Film Festival-JIFF

JIFF-2024 INDIA
9 To 13 February 2024

Original Title of the Film: _______DEAR KUMUD_________________________________________

English Title of the Film: ______DEAR KUMUD__________________________________________

Director of the Film: ________ASHISH SRIVASTAVA________________________________________

Genre/Subject of the film (film based on which subject/s): PTSD (POST-TRAUMATIC STRESS DISORDER) SHORT FICTION

Please choose any one from below, regarding your submission, it is:

Art Film □ Commercial Film □ Other (specify): ___________________

Please tick, if your film/s based on any (one) subject/s from below:

Political□ Sports□ Women □ Child □ Wildlife □

War and Peace □ Comedy □ Romantic □ Horror □
Current issue□ (any, happened before a year of the festival) Other: …MENTAL AWARENESS…

As per your opinion your film is perfect for peace to human mind, if we can see. without any discrimination
and misogyny. There will be peace in the human mind and brain after watching your film.

Yes ✔️ No

One line synopsis of the film: THIS FILM IS BASED ON A CHARACTER WHO IS SUFFERING
FROM PTSD (POST-TRAUMATIC STRESS DISORDER), FIGHTING WITH HIS CONSCIOUS & SUB-CONSCIOUS MIND.
________________________________________________________________

_______________________________________________________________

Original Language: HINDI ✔️ English

Any other language, please specify: Dubbed Subtitled ✔️ENGLISH

Year of production: _2023_______ If released please mention year & month: ____________

Year of theatrical release: ____________ If released please mention year & month: ____________

Category: Feature Fiction Documentary Feature Animation Feature Short Fiction ✔️

 Short Documentary Short Animation Mobile Film Web Series

Song/Music Video Ad Film Student Film

Screener Format: MPEG-4

Premier status: World ✔️ Asian Indian West Indian Rajasthan

Its: Color or Black and White

Duration: __24 MINUTES 10 SECONDS__________

Production County/Countries: __________INDIA__________________________________________________

Participating film festival/s name: 16TH JAIPUR INTERNATIONAL FILM FESTIVAL 2024
__________________________________________________

For feature and documentary feature film/s: Please choose from below-
Your submission is for one or more awards: -

GOLDEN CAMEL - For Best Director

Yes or No

RED ROSE - For best released film

Yes or No

GREEN ROSE - For a film which gives global message

Yes or No

YELLOW ROSE - For upcoming film- with world premier

Yes or No (film should be yet not released)

BEST DEBUTANTE DIRECTOR (Director First Film)

Yes or No

JAIPUR CRITICS – for feature fiction films only, best film award from film critics

Yes or No

HONORARY ASIA - for Asian feature fiction films, who produced/directed minimum 5 films in their respective
carrier

Yes or No

WELCOME REGARD - for 1st film, feature films only

 Yes or No

JIFF INDIAN PANORAMA (from India only)

Yes or No

WRITE THE ORIGINAL NAME AS BELOW FOR AWARDS (If won), LEAVE BLANK IF NOT REQUIRED FOR YOUR CATEGORY:

SCRIPT WRITER …ASHISH SRIVASTAVA……………………

DIRECTOR …ASHISH SRIVASTAVA……………………………………………
FILM EDITOR …ASHISH SRIVASTAVA……………………………………………
CINEMATOGRAPHER …AMAN CHANANA……………………………………………
SOUND EDITOR …AKSHAY UPADHYAY……………………………………………

FILM EDITING …ASHISH SRIVASTAVA, VAIBHAV SINGH……………………………………………

COSTUME DESIGN
MAKEUP AND HAIRSTYLING
BEST MUSIC
PRODUCTION DESIGN
BEST VISUAL EFFECTS
………………………………………………
………………………………………………
…AKSHAY UPADHYAY……………………………………………
…PRASHANT RANA……………………………………………
………………………………………………

ACTOR IN LEADING ROLE …VAIBHAV SINGH……………………………………………

ACTRESS IN LEADING ROLE …POOJA RAWAT……………………………………………

ACTOR IN SUPPORTING ROLE ………………………………………………

ACTRESS IN SUPPORTING ROLE ………………………………………………

DEBUTANTE ACTRESS …POOJA RAWAT……………………………………………

DEBUTANTE ACTOR …VAIBHAV SINGH…………………………………………

Please send us this document at: myjiffindia@gmail.com

Please send film(s) photograph(s), Film Poster(s) and director’s photo, please send with this form.

Thanks