Nisimazine WOFF 2016 Application Form
Film Journalism Workshop
29.09 - 02.10 2016
Glasgow, Scotland

*IMPORTANT: Eligible applications should be accompanied by and one passport-style photograph and if it is the case evidence of your previous journalistic works ( articles in English or translated into English / photographs/ links to videos).
Please send all material under the subject line "LAST NAME Name Nisimazine WOFF Application 2016" to europe@nisimasa.com

Please complete this form in English.


DECLARATION AND CONDITIONS

(x) I have read and understood the call for participants, and give my agreement for all listed terms and conditions therein.
(x) I agree that my personal data given in this application form may be available to other participants.
(x) I declare my availability for the entire duration of the event.
(x) I agree that the rights of my articles/pictures will belong to NISI MASA.

First Name(s) *
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Surname *
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Date of Birth (dd/mm/yy) *
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Sex *
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Nationality *
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Country of Residency *
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Private Tel (with country dialing code) *
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E-mail *
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Private postal address *
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Member of NISI MASA? *
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Name and Address of Organisation
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Are you interested in contributing to the coverage in another format? If yes, please mark your choice:
What is your motivation for taking part in the “Nisimazine WOFF" Workshop? *
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What are your personal expectations? *
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Have you ever participated in a NISI MASA event before? *
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How did you discover our activities? *
Please sign your name to declare you agree with the declaration and conditions *
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