………………………………………………………..............................…………………… ………………………………………………………………………………………………M Mastering Equipment Details: Manufacturer:……………………………….............................…………………………….. Serial Number:………………………………….............................…………………………. LBR Code (show full range if applicable):….............................……………………………… Can LBR be turned off?…………............................................................……………………. Undertaking I………………………………………………………………..........................………do hereby affirm that I have the authority to furnish the information provided above and that the information provided is to the best of my knowledge true and correct. Name:…………………………………………………………….................................................................................................................. Designation:…………………………………………………………….................................................................................... ..............................................……Address:……….........………............................................................. ……………………………………………………........…...…...........................................… Signature:……………………………… Date:…...............…………………. 11 11

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