L.1. 1962
31
COPYRIGHT REGULATIONS, 2010
NAME AND EMBLEM OF COLLECTING SOCIETY
APPLICATION FOR PUBLIC PERFORMANCE LICENCE
FORM 1
(regulation 37 (l))
No................ .
lIWe ......................................................................of .......................................................................... .
require a licence to use/perform cause to be performed audiovisual work/Drama/Concert or
any other work which is protected by copyright at a .................................................................. .
Uwe intend to organise the Performance at ............................................... :................... :.......... .
:
Date of
P~formance
,
Nature of
Performance
Place of
Performance
Seating
Capacity
Gate Fee
Time
I1We agree that based on the licence given me by................................ (name of collectmg
society) upon the above information which I certify to be true, I shaD pay
..................................... (name ofcollecting society) a rnin.imum deposit of.................................... .
I agree that within 7 days of the performance I shall pay a balance based on ..................... .
percent of the daily gate proceeds.
I certifY that the above information is true to the best of my knowledge and belief.
DATE:
SIGNATURE OF APPLICANT
(NAME AND ADDRESS OF COLLECTING SOCIE1Y)