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Efip Gold Distinction Form

This document appears to be an application for an Excellence FIP Gold (EFIP Gold) distinction from the Federation of Indian Photography (FIP). The application requests information like the applicant's name, membership details, contact information, and a dossier submitting 10 photographic works. It specifies the submission should be sent digitally to the FIP Secretary General by a certain closing date and includes declarations about authorizing the use of submitted works.

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225 views3 pages

Efip Gold Distinction Form

This document appears to be an application for an Excellence FIP Gold (EFIP Gold) distinction from the Federation of Indian Photography (FIP). The application requests information like the applicant's name, membership details, contact information, and a dossier submitting 10 photographic works. It specifies the submission should be sent digitally to the FIP Secretary General by a certain closing date and includes declarations about authorizing the use of submitted works.

Uploaded by

SITARAM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

FEDERATION OF INDIAN PHOTOGRAPHY

EFIP GOLD
Excellence FIP Gold

A DOSSIER FOR FIP DISTINCTION

1 DISTINCTION REQUESTED
EFIP GOLD
MASTER FIP
2 DATE OF APPLICATION
D D M M Y Y Y Y

FOR APPLICANTS FROM CORPORATE MEMBER CLUBS OF FIP


3 NAME OF THE CORPORATE MEMBER
4 FIP CORPORATE MEMBERSHIP NO. VALIDITY
5 NAME OF PERSON REPRESENTING
THE CORPORATE MEMBER

6 SIGNATURE OF PERSON REPRESENTING


THE CORPORATE MEMBER

CANDIDATE'S PROFILE
7 FULL NAME
8 MEMBERSHIP NO. VALIDITY
( FOR DIRECT MEMBERS OF FIP )
9 SEX
MALE FEMALE
10 NATIONALITY

11 DATE OF BIRTH
D D M M Y Y Y Y

12 ADDRESS

LANDLINE
13 PHONE
MOBILE
14 E MAIL ID.
15 PHOTOGRAPHIC DISTINCTIONS (IF ANY)
16 PREVIOUS REQUEST
YEAR IN WHICH FFIP/EFIP
17 CONFERRED
EFIAP EFIAP
FEDERATION OF INDIAN PHOTOGRAPHY

EFIP GOLD
Excellence FIP Gold

B DOSSIER FOR FIP DISTINCTION


1 FULL NAME

2 DATE OF BIRTH
D D M M Y Y Y Y
3 DISTINCTION REQUESTED EFIP GOLD
4 YEAR OF SUBMISSION
5 NUMBER OF WORKS SUBMITTED TO FIP
6.1 PICTORIAL MONOCHROME
6 SECTION 6.2 PICTORIAL COLOUR
6.3 NATURE
DETAILS OF WORKS SUBMITTED
FILE NAME
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
7.10.
ALL WORKS MUST BE SUBMITTED IN THE FORM OF DIGITAL IMAGES
HAVING A PIXEL DIMENSION OF 2400 ON THE LONGER SIDE AT A RESOLUTION OF 72 DPI

I HEREBY DECLARE THAT, I AUTHORISE FIP TO REPRODUCE


8 DECLARATION MY WORKS IN PHOTOGRAPHIC PUBLICATIONS FOR THE
BENEFIT OF FIP, WITH THE NECESSARY CREDIT LINE

9 SIGNATURE
FEDERATION OF INDIAN PHOTOGRAPHY

EFIP
GOLD
Excellence FIP Gold

C DOSSIER FOR FIP DISTINCTION


NAME:

STATEMENT OF INTENT ( within 150 words )

APPLICATION PROFORMA (duly filled) ALONG WITH 10 DIGITAL IMAGES, SELF PASSPORT SIZE COLOUR
PHOTO, DECLARATION, ELECTRONIC SIGNATURE (PHOTO OF YOUR SIGNATURE ON WHITE
BACKGROUND) & PHOTO OF LAST DISTINCTIONS - BOTH FIP AND FIAP MUST REACH THE SECRETARY
GENERAL, ON OR BEFORE THE CLOSING DATE OF SUBMISSION, ONLY THROUGH EMAIL :
[email protected]

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