Entry Form

OR Fill online below.


Entry Guidelines

  • Fill this form for each entry separately.
  • Supporting written document should be no longer than one side of an A4 size paper in no less than 10-point size Arial font.
  • Audio should be in mp3 format and should be limited to the duration specified for each category of awards.
  • Video, if any, should be MPG2 file format ONLY and be no longer than 2 minutes duration.
Select Category
Entry Name

Award Sub Category Code:*
 
Contact Details
Name of Entrant Company

Company Activity

 
Address
 
 
City

 
Pin Code

 
Website

 
Contact Person 1
Name

Designation

Email

Telephone number: Mobile/ Landline

Contact Person 2
Name

Designation

Email

Telephone number: Mobie/ Landline
 
 
ENTRY DETAILS
 
Client/Brand:

Activity/Script/Campaign Title

Date of Start of Activity
 
 
CLIENT DETAILS
 
Address

 
Contact Person

   
Email

   
Telephone number: Mobile/ Landline

   
Material being uploaded
HyperLink
   
HyperLink
   
HyperLink
   

Please see instructions at the top of this form for guidelines regarding file formats and file size etc.
PAYMENT DETAILS
Amount

   
Cheque/Demand Draft No.
 
Date

   
Bank

   
Branch

   
Payable at Delhi
 
  • Facebook
  • Twitter

Other Quick Links

 
 

For help/clarification contact:

Kanupriya at kanupriya@exchange4media.com
+91 9873106080