Form B NIGERIAN COPYRIGHT COMMISSION APPLICATION FOR APPROVAL TO EXPORT OR IMPORT Production Parts/Equipments Full Name ofApplicant:……………………………………………….................................... ……………………………………���………………………………..............................…… 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) ……......……… Give the expected date of import or export:………................................……………………… Particulars of Equipment Type of Equipment: ………………..............................……………………………………… Make:…………………………............................…………………………………………... Model:……………………….............................……………………………………………. Serial No.:……………………..............................…………………………………………... Quantity to be Exported/Imported (delete as appropriate):…..................................………….. ………………………………………………………..............................…………………… If the equipment is a mould or a signal processor or laser beam recorder: 12 12