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Media Registration
Vivek
2022-05-20T09:37:56+00:00
Media Registration Form
Professional Profile
Please fill in/ check all fields and have the form ready when registering at the press registration desk at Brahmaputra Valley Film Festival 2018.
First Name
*
Middle Name
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Last Name
*
Name to appear on the badge
*
Job Title
*
Publication/Organization
*
Media category: (please check one)
*
Press agency
Publisher
Daily newspaper
Audio Visual and Photographic Agency
Magazine
Company Newspaper
Broadcast/ TV
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Other
For other media categories
Please specify
Contact Information
Office Address
*
Postal Code
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State
*
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*
Phone
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*
Email
*
Web Site
*
Would you like us to keep you informed on all media-relevant information and events from now on?
*
Yes, contact me about news
No, do not contact me.
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