1964_FILM_CENSORSHIP_REGULATIONS — Page 4

CAP. 392]

Film Censorship Regulations

[1988 Ed.

[Subsidiary]

SCHEDULE 1

[regs. 2, 4, 7 & 10]

[s. 8(2)]

FORM 1

FILM CENSORSHIP ORDINANCE

(Chapter 392)

FILM SUBMISSION FORM

ORIGINAL-WHITE

(Retained by Commissioner for Television and

Entertainment Licensing)

DUPLICATE--GREEN

(Retained by applicant)

(See Note 1)

FOR OFFICIAL USE ONLY

Ref. No.:

Received on:

Censorship Date:

To the Commissioner for Television and Entertainment Licensing

PART A

1. Title(s): (English):

(Chinese):

(Other Language):

2. Country(ies) of production:

3. Producer:

4. Director:

5. Language(s) of dialogue:

(See Note 3)

6. Language(s) of subtitles:

7. Approximate running time of the film:

8. A synopsis of the film is as attached.

9. Format of film:

16mm film; No. of reels:

35mm film; No. of reels:

video-tape; No. of cassettes:

laser disc; No. of discs:

still film; No. of slides:

10. Venues of exhibition:

others; please specify:

cinematograph theatres

others; please specify:

minutes