FIRST SCHEDULE Copyright (Collecting Societies) Regulations 2006 FORM NCC/CSR 1 APPLICATION FOR GRANT OF LICENCE 1. Name of Applicant…………………………………………………………… 2. Contact Information: i. Location address:………………………………………………………………… …………………………………………………………………………………….... i. Telephone ………………………………………………………………………... ii. Fax……………………………………………………………………………….. iii. Email……………………………………………………………………………. 3. Names of Principal Officers i. Chairman of Governing Board ………………………………………………… ii. Chief Executive Officer………………………………………………………… 4. Category/Class of Rights for Which Licence is Sought:……………………….. ………………………………………………………………………………………