5. Principal Object of the applicant company……………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… 6. Subsidiary Objects of the Company. i……………………………………………………………………………………. ii……………………………………………………………………………………. iii……………………………………………………………………………………. 7. Current number of Members…………………………………………………….. 8. Details of Affiliation with any foreign organization: i. Name of Organization…………………………………………………………… ii. Contact Address of Organization………………………………………………... ……………………………………………………………………………………… iii. Nature of Affiliation…………………………………………………………………… UNDERTAKING/DECLARATION OF COMPLIANCE (To be signed by the Chairman & 2 Directors of the Company) We the undersigned, being directors of the within named company hereby affirm that the information provided in this form are to the best of our knowledge true and correct and that the applicant company upon being licensed by the Commission shall comply with provisions of the Copyright Act and these Regulations in respect of the operations of the applicant company as a collecting Society. DATED THIS………….DAY OF…………………………………..20 1. --------------------------------------------------------------------Name of Director --------------------------Signature