CARLOS PALANCA MEMORIAL AWARDS FOR LITERATURE

OFFICIAL ENTRY FORM AND GRANT/ASSIGNMENT OF RIGHTS

(This form must be notarized.)

AUTHOR’S NAME / :
Date of Birth (DD/MM/Year) / Place of Birth / Age / Gender
M F / Civil Status
CONTACT INFORMATION
HOME / WORK/BUSINESS
ADDRESS / :
LANDLINE / :
MOBILE NO. / :
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For first-time participants, please indicate how you learned of the Palanca Awards:

A U T H O R I Z A T I O N

I am hereby entering the enclosed work(s) (the Work(s)) listed below in the Carlos Palanca Memorial Awards for Literature contest (the Palanca Awards) for the current contest year. I represent and warrant that I have written or created the said Work(s) and that I am the absolute owner of the copyright(s) and other intellectual property rights pertaining to the said Work(s).

TITLE / DIVISION / CATEGORY
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In the event that any entry of mine is awarded a prize, I authorize the Sponsor to post the winning Work(s) in its/their entirety on the CPMA Website to enable the public to download it for free. / YES / NO

I declare that I have read and understood the rules of the contest (the Rules) and accept and agree to such Rules. In the event that any of the foregoing Works wins, I further grant and assign to the Sponsor the concurrent and non-exclusive right to exercise the full copyright and all other intellectual property rights over such Work(s), as well as all intellectual property rights over all my previous Palanca Award prize – winning work(s) if any, (collectively, the “Work(s)”), and I hereby waive all moral rights over all my Palanca Award prize-winning Work(s) in favor of the Sponsor. This grant, assignment, and waiver of rights (the “Sponsor’s Rights”), may be exercised by the Sponsor to the extent permitted under existing laws applicable at the time of exercise. The Sponsor’s Rights shall extend to all forms of storage, transmission, dissemination, and communication, presently existing or subsequently created. To the extent permitted by law, the Sponsor’s Rights shall be worldwide, continuous, and may be exercised by the Sponsor for the maximum time allowed by applicable law. In furtherance of education, I acknowledge that the Sponsor reserves the right to donate copies of individual winning Works or compilations of Winning Work(s) to public and private educational institutions and public libraries.

To promote Philippine Literature in the modern world of information technology, the Sponsor intends to make the winning entries accessible through the internet or other electronic media, to serve as a literary archive of the contest. The website or other media to be established for this purpose are intended to be a repository of the award-winning Works, recording the history of the development of Philippine literature over the years through the Palanca Awards. In making the Work(s) thus available to the public, the Sponsor intends purely to promote literary appreciation for and public awareness of such Work(s), and not to commercially exploit the same. I have indicated on this form my preference whether to have my Work(s) posted on the CPMA website and made available for downloading by the public for free in the event that a prize is awarded for the Work(s). To encourage use for educational purposes, winning Work(s) shall be posted on the website in their entirety. I understand that should I subsequently instruct the Sponsor in writing to include or remove the Work(s) from the Internet archive, such instruction will be honored and the Work shall be included or removed from the Internet archive within a reasonable time from Sponsor’s receipt of my written instruction. I acknowledge and agree that the exclusion of any winning Work or Works from the website shall not constitute a waiver of any of the Sponsor’s Rights.

The prize money which may be awarded to me for the Work(s) shall constitute full payment for the Sponsor’s Rights, and shall be in lieu of any royalties or other compensation to me.

The exercise of the Sponsor’s Rights shall not be deemed a waiver of any right of action which the Sponsor of this contest may have against the Contestant if it is discovered later on that said person is not the creator or owner of the copyright to the Work(s) or has otherwise infringed the intellectual property rights of another.

I HEREBY ACKNOWLEDGE THAT The Sponsor shall be exempt from any and all liability in the event that an entry AND/OR WINNING WORK (hereafter, “Work”) is said to infringe the intellectual property rights of another. I hereby hold the Sponsor free and harmless from, and undertake to indemnify the Sponsor, for any and all damages, liabilities, claims, losses, and fees, including reasonable attorney’s fees, arising from or in connection with, any allegation, inquiry, claim, or action for infringement, in any forum or jurisdiction, and undertake to do any and all acts necessary in the defense of the Sponsor, including testifying in behalf of the Sponsor. for puroses of this clause, “sponsor” shall mean the carlos palanca foundation, inc., its directors, officers, employees, consultants, and authorized representatives.

i understand and agree that The Sponsor reserves the right, at its sole discretion, to revoke any prize previously awarded if there is a finding by competent authority that the Work has infringed the intellectual property rights of another.

save in the case of fraud, gross negligence, or bad faith, i hereby hold the sponsor free and harmless from any breach of intellectual property rights which may arise in connection with the contest and shall have no recourse against the sponsor at law or equity. The sponsor shall exercise reasonable care in protecting the confidentiality of all entries.

Author’s Printed Name / Author’s Signature

(NOTE: If the participant is a minor, the following should be accomplished by the parent or legal guardian.)

PARENTAL CONSENT
(For contestants who are minors.)
I, the undersigned parent and/or legal guardian of ______, hereby execute this document on his/her behalf.
______
Printed Name and Signature
(Parent/Legal Guardian)

ACKNOWLEDGMENT

Republic of the Philippines)

) S.S.

BEFORE ME, this ____ day of ______, in ______, Philippines, personally appeared:

Name / Government-issued Evidence of Identity / Date/Place of Issue/Validity Period

known to me and to me known to be the same person/s who executed the foregoing instrument and who acknowledged to me that the same is his/her/their voluntary and free act and deed.

Doc. No. ____;

Page No. ____;

Book No. ____;

Series of 201_.