Apply Annual Licensing – Recording Performers Malaysia Berhad

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Apply Annual Licensing

License application - annual

Particulars of Applicant

Name of Company / Business :

Registration No

TIN No.

Type of Business

Address of Company / Business

Office Phone No

Postcode

Contact Person

Designation

Mobile Phone No.

Particulars of Business Premise(S) / Outlet(S)

Type of License

Name of Premise / Outlet (“Premises”)

Music Commencement Date (“Effective Term”)

Address of Premise / Outlet

Featured Music Entertainment (DJ / Singing / Dancing / Karaoke / Minus-One facility available?)

Number of Seat / Person

Number of Rooms

Number of Lobby / Reception

Floor Area (in square feet)

Carpark Area (in square feet)

Number of TV Monitor

Number of Video Wall / Multiple Screen

Number of Stand-alone Karaoke

Number of Telephone Switch Board using Music-On Hold

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Name of Premise / Outlet (“Premises”)

Address of Premise / Outlet

Featured Music Entertainment (DJ / Singing / Dancing / Karaoke / Minus-One facility available?)

Number of Seat / Person

Number of Rooms

Number of Lobby / Reception

Floor Area (in square feet)

Carpark Area (in square feet)

Number of TV Monitor

Number of Video Wall / Multiple Screen

Number of Stand-alone Karaoke

Number of Telephone Switch Board using Music-On Hold

Declaration & Agreement

I/We, the Applicant acknowledge and agree that I/we have read the Standard Terms and Conditions of the Music Usage Permission as stated in the overleaf. The information in this Application Form is correct and I/we agree that the information shall form the basis of the Permission issued.

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Upload Digital Company Stamp

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Name

NRIC No.

Date

Appendix

If you are applying for a music licence covering multiple premises, please download and complete the Appendix Form. Include the details of each additional premise and submit it together with your licence application.