Apply Event Licensing – Recording Performers Malaysia Berhad

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Apply Event Licensing

License application - event

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 Event(s)

Type of License

Event Name

Tariff Category (optional)

Event Date (“Effective Term”)

Venue of Event (“Premises”)

Number of Persons attending event (per day)

Number of Event Days

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Event Name

Venue of Event (“Premises”)

Event Date (“Effective Term”)

Number of Persons attending event (per day)

Number of Event Days

Please fill out the details below if the Applicant is representing their client

Event Owner

Contact Person

Mobile Phone No.

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.

Upload Digital Signature

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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 events, please download and complete the Appendix Form. Include the details of each additional event and submit it together with your licence application.