ENTRY FORM
Please select category being entered for: *



Name of the entrant company *
(Same will appear on the trophy)


Company activity *


Entry Name*


Creative URL *
(Video link/ PPT on youtube or Google drive)


Reference material URL *


Website Address *
(Company website/Campaign Website)




This is to certify that the above entry was deployed on the internet/ mobile/social media between 1st February’14 to 31st january’15 (both days inclusive). I/ We have read the Rules & Regulations for the Indian Digital Media Awards 2015 and agree to abide by them.*

Covering Note/ Overall Experience *


Strategy (25%) *


Creativity & Innovation (25%) *


Execution (25%) *


Results (25%) *


Entry Details
Client/ Brand: *


Activity/ Script/ Campaign title: *


Date of start of activity: *


Contact details of the Entrant
Name*
Organization*
Designation*
Email*
Mobile Number*
Please check if both are same
Contact details of the signing authority
Name*
Organization*
Designation*
Email*
Mobile Number*
Client Details
Address:*
Contact person:*
Email:*
Mobile Number:*