REPUBLIC OF KENYAAPPLICATION FOR A LICENSE TO MAKE A FILM OR TAKECOMMERCIAL STILL PHOTOGRAPHSThe Film Licensing Officer
Film Production Department
Ministry of Information & Communication
P.O. Box 74934
Nairobi, Kenya+254--20
20--650120/1/2/3
650120/1/2/3/501
Telephone: +254
/501
Fax: +254+254-2020-553003
E-mail: fpd@skyweb.co.ke

1.

Name, address and fax of Production Company........................................................

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2.

Name, address and telephone number of local agent in Kenya ......................................

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3.

Title of film and subject material:a)Title .....................................................................................................................

b)

Subject material (e.g. advertisement, documentary, feature, etc) ...................................

c)

Format (video, 8, 16, 35mm) .................................................................................

d)

Duration of film in screening ...................................................................................

4.

Intended audience (State/Country/Countries) ............................................................

5.

Shooting schedule (Attach separate schedule if necessary):a)

Number of days .....................................................................................................

1.

b)

6.

Location (Street, Game Parks, etc.)

Approximate Date of Shoot(i) ............................................................

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(ii) ............................................................

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(iii) ............................................................

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(iv) ............................................................

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(v) ............................................................

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(a) Estimated total budget on film (*$, £, €, Yen, KSh., etc.).................................

(b) Estimated budget to be spent in Kenya ...............................................................

7.

Number of expatriate artists (actors, actresses, stuntmen, make up. etc.) ........................

NB: (Attach list of names and passport copies)

8.

Number of expatriate film crew (directors, producers, cameramen, etc.): ......................

(Attach lists)

9.

Number of local artists ..........................................................................................

10. Number of local film crew.....................................................................................

11. Type of construction/improvisations on locations ........................................................

12. Equipment:(a) To be imported (give list) ………………… (b) To be hired locally (give list) ...................

13. Raw film /video stock:(a) Footage .................................................................................................................

14. Type of accommodation: (a) Hotel ...................... (b) Camping ...............................

2.

15. Approximate time for depositing the final copy of the film (Preferably in a V.H.S. videocassette form) .......................................................................................................
*Special request if any............................................................................................

16. Undertaking/Declaration(A) (i) I undertake on behalf of Production Company to acknowledge Kenya as the location orpart of location for the film in the credits.
(ii) I have read the rules and regulations attached and undertake to abide by the provisions
laid down. I understand that before a licence is issued, payment for the licence andfilming must be met.
(B) (i) I declare that the information I have given in this application is true and correct.
(ii) I have not been convicted of an offence under the Films and Stage plays Acts Cap.222
of the Laws of Kenya

Signed:Local Agent ......................................
Date......................................

FOR OFFICIAL USE ONLY
A.

B.

(i)

Filming fees ............................................ KShs.

(ii)

Licence fees ............................................ KShs.

(i)

Approved(ii)

Not Approved ........................................

............................................

Signature:..........................................................

Date:..........................................................

3.