REGISTRATION OF WORKS FORM. PUBLISHER (Where Applicable) COMPOSER / AUTHOR (Name and Surname as per ID)

Size: px

Start display at page:

Download "REGISTRATION OF WORKS FORM. PUBLISHER (Where Applicable) COMPOSER / AUTHOR (Name and Surname as per ID)"

Reynold Clarke
7 years ago
Views:

1 REGISTRATION OF WORKS FORM COMPOSER / AUTHOR (Name and Surname as per ID) Identity Number / Passport Number / Company Registration Number PUBLISHER (Where Applicable) Company Registration Number Registration Type Composer / Author Publisher Catalogue Sub-Publisher Contact Number(s) Address

(Where Applicable) Company Registration Number Registration Type Composer

2 I, THE UNDERSIGNED, DECLARE, ACKNOWLEDGE AND CONFIRM THE FOLLOWING: 1. I AUTHORED/COMPOSED AND/OR PUBLISHED ALL WORKS MENTIONED HEREUNDER. 2. I HAVE, BY MEANS OF A SEPARATE DEED OF ASSIGNMENT, ASSIGNED TO SAMRO MY PERFORMING, AND/OR FILM SYNCHRONISATION RIGHTS IN THE SAID WORK(S). 3. I HEREBY ALSO LIST ALL AUTHORS/COMPOSERS AND/OR PUBLISHERS ELIGIBLE TO REGISTER AS AUTHOR/COMPOSER AND/OR PUBLISHER. 4. SAMRO SHALL NOT BE HELD LIABLE FOR ANY CLAIMS OF ANY KIND ARISING FROM DISPUTES AND ACTIONS RELATING TO MY INVOLVEMENT IN THE WORKS INDICATED HEREUNDER. Date Signature Composer / Author Publisher The person notifying is required to send to SAMRO, together with this form, a copy of his/her Deed of Assignment and or Exclusive Song Writers Agreements with the publisher ONLY in cases where an agreement exists. Copies of contracts with film-producers should also be sent to SAMRO. To obviate unnecessary duplication of administration, kindly keep a copy of all notifications sent to SAMRO. 1. Title Alternative Title

I HEREBY ALSO LIST ALL AUTHORS/COMPOSERS AND/OR PUBLISHERS ELIGIBLE TO REGISTER AS AUTHOR/COMPOSER AND/OR PUBLISHER. 4.

3 2. Title Alternative Title 3. Title Alternative Title

4 4. Title Alternative Title 5. Title Alternative Title

5 6. Title Alternative Title 7. Title Alternative Title

6 8. Title Alternative Title 9. Title Alternative Title

7 10. Title Alternative Title 11. Title Alternative Title

8 12. Title Alternative Title 13. Title Alternative Title

9 14. Title Alternative Title 15. Title Alternative Title

10 16. Title Alternative Title 17. Title Alternative Title

11 18. Title Alternative Title 19. Title Alternative Title

12 20. Title Alternative Title 21. Title Alternative Title

13 22. Title Alternative Title 23. Title Alternative Title

14 24. Title Alternative Title 25. Title Alternative Title

15 26. Title Alternative Title 27. Title Alternative Title

16 28. Title Alternative Title 29. Title Alternative Title

17 30. Title Alternative Title 1. TITLE OF WORK: The original / official title of the musical work.

18 2. ALTERNATIVE TITLE(S): If the work has alternative title(s) or commonly used title(s) please furnish these in the block. 3. DURATION: The actual duration of the musical work in minutes and seconds. 4. PERFORMING ARTIS(S) / GROUP: Please supply surname and name of performing artist in case where music was written for a specific artist or group. 5. CAPACITY / ROLE CODE: A Author AD Adaptor AR Arranger C Composer E Publisher SA Sub-Author SE Sub-Publisher 6. PR %: Performing Rights Share Percentage. SAMRO IS AFFILIATED TO THE INTERNATIONAL CONFEDERATION OF COPYRIGHT SOCIETIES: CISAC SAMRO Place, 20 De Korte Street, Braamfontein, Johannesburg, Gauteng. P.O. Box Braamfontein, 2017 TEL: (011) FAX: +27(0) customerservices@samro.org.za (Reg. No. 1961/002506/08)

CAPACITY / ROLE CODE: A Author AD Adaptor AR Arranger C Composer E Publisher SA Sub-Author SE Sub-Publisher 6. PR %: Performing Rights Share Percentage.

Retirement from the SAMRO RETIREMENT ANNUITY FUND

Retirement from the SAMRO RETIREMENT ANNUITY FUND The Samro Retirement Annuity Fund provides benefits for members who elect to retire from the Fund. The aim of this document is to provide members with