ISRC FIRST OWNER CODE APPLICATION FOR …

1 ISRC FIRST OWNER code APPLICATION FOR PERFORMERS/GROUPS only Suite 2, 152 Bram Fischer Drive, Ferndale, Randburg 2194 PO Box 367 Randburg 2125 Tel: 011 886 1342 Fax: 011 886 4169 E-mail: DATE OF APPLICATION : Stage Name/ group Name Name per ID ( group Representative) Identity Number CONTACT DETAILS TELEPHONE NUMBER: FACSIMILEE NUMBER CELLULAR NUMBER: EMAIL ADDRESS: CONTACT ADDRESSES PHYSICAL ADDRESS AREA code POSTAL ADDRESS: AREA code FOR OFFICIAL USE only AUDIO ZA- VISUAL ZA- Suite 4, 152 Bram Fischer Drive Randburg 2194 PO Box 367 Randburg 2125 Tel: 011 886 1342 Fax: 011 886 4169 E-mail: ISRC FIRST OWNER code APPLICATION FOR PERFORMERS/GROUPS only If group , List Co-Members: 1.

2 2. 3. 4. 5. 6. 7. 8. 9. 10. ALTERNATIVE CONTACT PERSON s DETAIL Name of alternative contact person: Alternative contact telephone number: Alternative contact email address: FOR OFFICIAL USE only AUDIO ZA- VISUAL ZA- Suite 4, 152 Bram Fischer Drive Randburg 2194 PO Box 367 Randburg 2125 Tel: 011 886 1342 Fax: 011 886 4169 E-mail: ISRC FIRST OWNER code APPLICATION FOR PERFORMERS/GROUPS only PRODUCT MANUFACTURING & DISTRIBUTION WHICH ORGANISATION DOES YOUR: (a) Manufacturing/pressing of CD/DVD: REPLICATOR(S) (b) Distribution of CD s: DISTRIBUTOR(S) (c) ONLINE Distribution: DISTRIBUTOR(S) NATURE OF BUSINESS In short, state the nature of your operation within the music industry: _____ _____ _____ _____ _____ Hereby undersigned by Names and Surname of Applicant Applicant s Signature Undersigned on this the _____ day of _____ 20___ and undersigned at _____