GOVERNMENT OF KIRIBATI F I L M I N G / R E S E A R C H A G R E E M E N T F O R M

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KIRIBATI GOVERNMENT OF KIRIBATI F I L M I N G / R E S E A R C H A G R E E M E N T F O R M PART A: APPLICATION 1. Any research or filming intended by foreigners to carry out in Kiribati must be applied for to the Permanent Secretary, Ministry of Internal and Social Affairs, P.O Box 308, Phone No: (686) 28283, Fax No. (686) 28695, Bikenibeu, Tarawa, Republic of Kiribati. 2. In order for an application to be considered, a researcher or a filmmaker would be required to provide a thorough Research Proposal or Filming Proposal together with other necessary documents including curriculum vitae. 3. Any research or filming suspected to involve potential risk to human subjects or physical environment can only be granted a special permission where necessary after local authorities have fully satisfied themselves then ratify the proposal. Page 1

PART B: PARTICULARS 1. Full name /.. (Print) Surname Given Name 2. Sex:. 3. Date of Birth : / / Day Month Year 4. Marital Status... 5. Nationality 6. Full home Address: 6.a Email Address:.. 7. Occupation. 8. Proposed title of Project.. 9. Duration of Project; (Date start and Ending) 10. Number of People involved; 11. Full Names and Roles of People involved (use separate sheet if required) a. Role;. b. Role;.. c. Role;. d. Role;.. e. Role;.. Page 2

12. Please provide as attachments clear copy of Passport for each, (photo, passport number and detail clearly shown) 13. Brief statement outlining the purpose of Research/ Filming. 14. Names and Addresses of sponsoring Institutions or Agencies; i. ii.. 15. Details of Previous Research / Filming done during the last five Years. 16. Address & contact (Phone, email, fax etc) while in Kiribati:... PART C: CONDITIONS 1. On arrival in the Republic of Kiribati, the Principal Researcher or Filmmaker and all other connected individual must posses return air/sea transport tickets, and adequate money for self support. 2. A permit for doing research / filming to Kiribati must be obtained before arrival in the country. 3. A research / filming fee is AU$350.00 and should be paid in cash at the Ministry of Internal & Social Affairs on arrival before the Page 3

commencement of Research or Filming (This is different from the VISA fee to be paid at Immigration Office). 4. Any I-Kiribati who may be employed to assist should be paid at a rate which is not less than the current minimum hourly wage of Government employees. 5. All Researchers and Filmmakers must not be involved directly or indirectly in any political, religious or other kinds of campaign in the country. 6. All Researchers and Filmmakers should at all times respect the local way of life of the Kiribati people and ensure that they are in no way a burden in individual or communal hospitality. 7. Collecting of artifacts and natural history specimens is not permitted. (This excludes handicrafts made for sale or souvenirs) 8. As a resulting from a research and filming done in the Republic of Kiribati, Researchers or Filmmakers should deposit two copies of published material, including one copy of audio recording, one copy of a well documented film at the Kiribati Cultural Center & Museum ( MISA) within 2 months after the completion of the processing. 9. The permission for undertaking a research or filming in Kiribati can be terminated when a Researcher or Filmmaker is proved of abusing such privileges, or acting contrary to the welfare of the people of Kiribati. Page 4

PART D: PERMIT 1. This permit is not valid until signed by the Permanent Secretary for Internal and Social Affairs (or designated representative) on behalf of the Government of Kiribati and by the applicant agreement to comply fully with PART C of this document. 2. This permit valid for one project only or for one entry only from date of entry until date of departure otherwise exemptions applied at the discretion of the Secretary of Internal & Social Affairs. PART E: DECLARATION I (Principal applicant full name) have read and fully understood this Agreement and agreed to comply with all requirements. Signed by the Applicant: Date: PART F: ENDORSEMENT Signed on Behalf of the Kiribati Government:. Secretary of Ministry of Internal & Social Affairs; Date:.. MISA stamp:.... Page 5