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#27 Carlos Street, Woodbrook Tel: (1-868) 624-2134; 298-2003 Email: [email protected] Website: www.socamonarch.net INTERNATIONAL SOCA MONARCH (ISM) 2016 REGISTRATION FORM REG# ISM2016/ Artiste’s Name: Artiste’s Home #: Artiste’s E-mail Address: Artiste’s Mobile #: Artiste’s Postal Address: Facebook: Instagram: Twitter: Artiste’s Sobriquet: Skype: Gender: (M or F) FaceTime: Date of Birth: (DD/MM/YY) Driver’s Permit/Passport/National ID: Manager’s Name: Manager’s Home #: Manager’s Address: Manager’s Mobile #: Manager’s E-mail Address: COPYRIGHT AGENCY: COTT PRS TTCO Other PUBLISHER: Neighbouring Rights will be: Retained by me Assigned by COTT Assigned by another INTERNATIONAL SOCA MONARCH COMPETITION 2016 - Registration Fee: $300 Name of Soca Name of Composer 1) 1) NAME OF MASTER RIGHTS OWNERS (S): CHECKLIST: Biosketch Promotional Photos Payment Music National ID Form Completed This is to certify that I am the only person authorised to perform the Soca listed above in the International Soca Monarch (ISM) 2016 Competitions (and Breakout Artiste) stated above. I agree that my performance in this Competition will be used for live audio broadcasts, visual telecasts and webcasts. In addition to delayed broadcasts, visual telecasts and webcasts as promotional material directly related to these Competitions, or for the production of a commercial video and/or commercial compact disc at the established rates determined by the Copyright Organisation of Trinidad & Tobago (COTT). I hereby acknowledge that I have received a copy of the Preliminary Rules and Guidelines governing the International Soca Monarch (ISM) 2016 Competitions and have affixed my signature hereunder in agreement thereof. Artiste (BLOCK LETTERS) Dated: (DD/MM/YY) Artiste (SIGNATURE) International Soca Monarch (ISM) On Behalf Of Caribbean Prestige Foundation For the Performing Arts