First Schedule Form A NIGERIAN COPYRIGHT COMMISSION APPLICATION FOR REGISTRATION OF MANUFACTURERS/DUPLICATORS Full Name of Applicant:…………...............................……………………………………... .................................................................................................................................................. Address:………………………………...............................…………………………………. ……………………………………………………………………………………………..… Telephone No:………………………...............................…………………………………… Fax: …………………………………………………………..............................…………… E-mail: ………………………………….............................………………………………… Internet Address: ………………………..............................………………………………… Full Name of Foreign Partners (if any): ……….....................................……………………… ………………………………………………..............................…………………………… Address: ……………………...............................…………………………………………… ……………………………………………………………………………………………… Telephone No:………………………………………………………...............................…… Fax: …………………………………………………………………..............................…… E-mail: ……………………….............................…………………………………………… Internet Address: ………………..............................………………………………………… Names of Principal Officers Chairman:……………………………………..............................…………………………... Managing Director:………………………………………………..............................………. Secretary: …………………………………………………………….............................…… Production Manager:……………………………………………………................................ Compliance Manager: ………………………………………………..............................…… Membership: NARI …….............… MORAN…..........…. Others (specify) …….......……… Standard operating Hours:…….…………...............................………………………………. Mastering Facilities: Method of Stamper Production (i.e. Galvanics, Firetrac or Direct): ……………………………………………………………………………………………… Stamper Production Capacity (if any) per 24-hour period: ………………………………………………...................................……………………..… Company (if any) Supplying Stampers: ……………………….............................…………………………………………………… 10 10