TEST — Momina

License Request Form

Name
Momina
Company
Test
NTN Number
TEST
Phone 1
TEST
Phone 2
Fax
Email
momina@emipakistan.com
Address 1
TEST
Address 2
City
TEST
State/Province
TEST
Postal Code
Country
Are you the actual user?
○ Yes○ No

Song Details

Song Title
TEST
Singer
Lyricist
Musician / Composer
Recording Type
○ Used○ Re-recording

Usage Type

☑ Original background/instrumental☐ Background vocal☐ Visual original sound☐ Visual recording☐ Lip sync☐ Re-recorded☐ Original sound☐ Other

Format(s) for Usage

☐ TV Commercial☐ Radio☐ Film☐ Website☐ Film Festival☐ Karaoke☐ Software☐ Other
Description of usage / additional notes
TEST

Entry ID: 58389