SIKAP Application Form

SIKAP Application Form
SIKAP Representative Information

Note: The person whose details are provided below will be the recognized representative for the association. All communication and information will be forwarded to this individual.
Full Name *

First Name Middle Name Last Name
E-mail *
Mobile Number *
ex: +63 9123456789
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Birth Date *

Month Day Year
Date
Gender *

Male Female
Dual Citizen? *

No Yes
If yes, which country?
Based in the Philippines?

No Yes
I am applying as a/an...

Local Member (PhP 5000.00) International Member (USD150.00) Affiliate Member (PhP 20,000.00) Partner
Intellectual Property Information (Local/International)
Please list IP Owner/s Name: *
Email Address of at least one of the owner/s *
Title of IP: *
Type of IP: *

Character Comics Animation Games
IP Format: *

Digital Illustration Picture Books Illustrated Story Comic Books Graphic Novels Children’s Books Animated Short Story Animated Series Full Length Animation Digital Game Table Top Game
Intellectual Property Description *
Length / Number of Seasons and Episodes / Synopsis
Is the IP Copyright Registered? *

Yes No
Please provide the following:
Contact Info of Owner/s if different from above

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
How did you hear about SIKAP? *

Facebook Page Word-of-mouth News Articles Lectures Events
Why would you like to be part of SIKAP? *
Visitor Location Data
Privacy Policy Agreement

SIKAP will use the information that you are providing in connection with processing your membership. We are committed to ensuring the protection of our members and member-applicants. We only collect the information you choose to give us, and we process it with your consent. We do not sell your personal information to third parties. You have the right to ask or a copy of the information we hold on you, and the right to ask us to correct any inaccuracies in that information. For more detailed information, please contact us.
By submitting this form, I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge. I also understand that any false statements or deliberate omissions on this form may subject me to legal actions for fraudulent misrepresentation.
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SIKAP Application Form

SIKAP Representative Information

Intellectual Property Information (Local/International)

Privacy Policy Agreement