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:
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