NASCAM DJ License Application

APPLICANT INFORMATION

Surname

First Name

Stage/DJ Name

ID/Passport Number

Physical Address

Postal Address

Phone Number

Email Address

LICENSE DETAILS

Annual License Fee: N$ 1500.00

Subject to change due to inflation as per NASCAM regulations

Date of Application

DECLARATION

I hereby apply for a Disc Jockey Copyright Public Performance Licence in accordance with the Namibian Copyright Act 6 of 1994.

I understand that this license permits me to publicly perform musical works within NASCAM's repertoire and agree to comply with all terms and conditions.

Applicant Signature

PAYMENT INFORMATION

Banking Details:

Nedbank Namibia

Account Number: 11000017568

Branch Code: 461041 (Maerua Mall Branch)

Please use your full name as payment reference

NASCAM DJ PERFORMANCE LICENSE APPLICATION

Namibian Society of Composers and Authors of Music