Film Application Card
of the 21 st International Festival Non-Professional Films 
“Love a Human”
Oświęcim, 25-27 January 2024
Oświęcim Cultural Centre
ul. Śniadeckiego 24, 32-600 Oświęcim, Poland
www.ock.org.pl
Giving consent to personal data processing is voluntary. The consent may be withdrawn at any time; to do so, a notification of withdrawal must be submitted in writing directly to the Data Controller at ock@ock.org.pl or to the postal address provided in the information clause below.
1. Pursuant to Article 6(1)(a) of the Regulation of the European Parliament and of the Council (EU) of 27 April 2016
I consent – I do not consent [delete as appropriate]
to processing my personal data, provided below in the Film Application Card, for the purposes relating to organization of the Film Festival, in which I am actively participating, including to contacting me if my film is qualified to the next stage of the Festival. 
Failure to give the consent shall make accepting the application impossible.
Film title: 
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Film description:
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Author/authors:    ….....................................................................................................................……………

Author’s year of birth:  .......................................................................................................................…....

Author’s country/place of residence: ................................................................................................……..

email:.......................................................................... phone number: …...........................................…....

club name (optional): …………………………………………………………………………………………………………………………..

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duration: …................ year of production: …............…………………………………………………………………………..... 

black and white/colourful film:      4:3  /  16:9  (tick as appropriate)

I hereby represent that the film was made  in compliance with the copyright and does not violate personal rights of the persons portrayed in it, and that it was submitted in keeping with the Regulations of the 20th International Non-Professional Film Festival “To Love a Human” 2022 I consent to a public screening of the film during the Festival and in mass-media, to promote the Festival, free of charge. 

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                                                      place, date, signature of the author/carer/instructor 
Information on personal data protection:

Pursuant to Article 13(1) and (2) of the Regulation of the European Parliament and of the Council (EU) of 27 April 2016 – GDPR – please be advised that:
1. The data controller is the Oświęcim Cultural Centre, with its registered office in Oświęcim, at ul. Śniadeckiego 24, 32-600 Oświęcim. Contact details: phone: +48 (33) 842-25-75, email: ock@ock.org.pl  
2. The Controller appointed the Data Protection Officer. Data Protection Officer contact details: email: iod@ock.org.pl 
3. The personal data of the Film Festival are processed in keeping with the purposes of and based on the legal grounds specified in the information clause provided in the Festival Regulations, in chapter Personal Data Protection. 
Furthermore, the clause contains information on the rights of the data subject, including on the right to withdraw the consent at any time if the personal data is processed based on the consent thereto.