Forms – Media Council of Uganda

APPLICATION FOR ACCREDITATION (FORM G)

Fill form below or download hard copy here

APPLICATION FOR ACCREDITATIONn(Under Section 30n

Name*
First Last
Country of Origin*
Nationality*
Date of Birth*
Place of Birth*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Passport No
Issued At*
Organization (Employer)*
Designation (position with employer)*
Purposes of Visit in Uganda*
Date Of Arrival*
Intended Length of Stay*
Please enter a value between 1 and 365.
Applicants Signature*
Date*

Application form for classification

Name*
[person applying for classification]
Name of Organization for which applicant works*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date of application*
Tick where applicable*
- Local English Film
- Indigenous Language Film
- Foreign Film
Title of films/ video works for which censorship/classification is required [Please List]*
Please list title of films/ video works, Producer, Director, Language, Preferred rating e.g [i].......... [Producer].........[Director]............. [Language]............. [Preferred rating]..........
Total number of films for which classification is required*
Copy of product ownership/authorisation to submit for works (Sworn affidavit seen?*
- Yes
- No
Synopsis of each title [Please writes on separate sheet and attach]*
Enclose/Attach evidence of payment of the Application fees*
Evidence of soundtrack/music copyright clearance of each title. Attached?*
- Yes
- No
12. Each film title coming for censorship MUST be presented in 3 copies of DVD format with the content water marked thus: “Preview Copy”.

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Certificate(s) Application Form

Name [person applying for certificate(s)]*
(Write Full names)
Name of Organization for which applicant works*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone
Date*
Title of films/ video work(s) for which certificate(s) is required [Please List]*
Please list title of films/ video work(s) / Producer / Director in that order e.g (i) ...............[Producer]............ [Director]...............

‘Extra Minute(s)’ Application Form

Name [person applying for the payment of extra minute(s)*
(write full names)
Name of Organization for which applicant works*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone no.*
Date of Application*
Title of film(s) / video works for which extra minute(s) is being paid for [Please List]
Please list Title of film(s) / video works , producer and director in that order e.g [i]..............[Producer].........[Director]..............
Total number of minutes for which payment is required*
Enclose evidence of payment of fees for the extra minute(s)
Drop files here or

Label(s) Application Form for DVDs & Posters

Name [person applying for Label(s)*
(Write full names)
Number Of DVD Label (s)*
Number Of Labels for Poster(s)*
Name of Organization for which applicant works*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date Of Application
Title of film(s) / video works for which Label(s) is required [Please List]*
Please list title of film(s) / video works, producer, director in that order e.g [i]............[Producer]..............[Director]..............
Total number of ‘DVD labels’ applied for
Total number of ‘Poster labels’ applied for
Enclose / Attach evidence of payment of the Label(s) fees*

Review/Appeal Application Form

Name [person applying for review/appeal]*
Name of Organization for which applicant works*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date Of Application*
Title of film(s) /video works for which review/appeal is required [Please List]*
Please list title of film(s) / video works, producer, director in that order e.g [i].......... [Producer]..........[Director]............
Total number of films for which review/appeal is required*
Enclose evidence of payment of the review fees*

Editor Application Form

STATEMENT OF PARTICULARS OF EDITOR AND MEDIA ORGANIZATION

Place of publication/broadcast*
Periodicity of it publication/broadcast*
Printer’s/Signal distributor Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Publisher’s/Broadcaster’s Name*
Publisher’s/Broadcaster’s Name: (*attach certificate of incorporation)*
Address of Publisher /Broadcaster*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Editor’s/Producer’s Name
Nationality
ID No.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Qualifications
Drop files here or

Accepted file types: jpg, gif, png, pdf.
(attach C.V & testimonials)*
List of editorial staff (including Journalists; Reporters; Stringers; Radio Presenters)*
Drop files here or

Accepted file types: jpg, gif, png, pdf.
attach list (form 2) indicating description)
Names and addresses of individuals who own the Media Organisation and partners or shareholders holding*
I hereby declare that the particulars given above are true to the best of my knowledge and belief*
- Yes
- No
Date of Applications*
Signature/seal of Media Owner/Publisher/Broadcaster (authorised representative*