Photography contest form To be filled by the contestants (maximum 3 entries per theme)
Click on the appropriate box below: I am contesting for
all 3 themes	only 2 themes	only 1 theme
☐	☐	☐
Entrant’s Name	Designation	Contact No	Email ID	Address
Enter your full name	Enter your designation	Enter your contact number	Enter your email ID	Enter your Full Address
Theme 1	End Malaria for Good – Community in Action
Caption	Location	Photo file name
Photo#1	Give Brief Description	Location	Enter file name
Photo#2	Give Brief Description	Location	Enter file name
Theme 2	Saving Lives - Colors of Courage
Caption	Location	Photo file name
Photo#1	Give Brief Description	Location	Enter file name
Photo#2	Give Brief Description	Location	Enter file name
Theme 3	Prevent mosquito bite – Keep malaria out!
Caption	Location	Photo file name
Photo#1	Give Brief Description	Location	Enter file name
Photo#2	Give Brief Description	Location	Enter file name