Example Notified Details Form Example Article 7(G) Notified Details Form

January 2018 Example Notified Details Form Example Article 7(g) Notified Details Form A. Please list your works that you wish to license directly, including your publishers for those works: A. WORKS Work Writer Publisher Song 1 Your name Your publishers’ names Song 2 Your name Your publishers’ names Song 3 Your name Your publishers’ names Song 4 Your name Your publishers’ names Song 5 Your name Your publishers’ names Song 6 Your name Your publishers’ names Song 7 Your name Your publishers’ names Song 8 Your name Your publishers’ names Song 9 Your name Your publishers’ names Song 10 Your name Your publishers’ names Song 11 Your name Your publishers’ names Song 12 Your name Your publishers’ names Song 13 Your name Your publishers’ names Song 14 Your name Your publishers’ names Song 15 Your name Your publishers’ names Song 16 Your name Your publishers’ names Song 17 Your name Your publishers’ names Song 18 Your name Your publishers’ names Song 19 Your name Your publishers’ names Song 20 Your name Your publishers’ names Song 21 Your name Your publishers’ names Song 22 Your name Your publishers’ names Song 23 Your name Your publishers’ names Song 24 Your name Your publishers’ names Song 25 Your name Your publishers’ names Song 26 Your name Your publishers’ names Song 27 Your name Your publishers’ names Song 28 Your name Your publishers’ names Song 29 Your name Your publishers’ names Song 30 Your name Your publishers’ names Song 31 Your name Your publishers’ names Song 32 Your name Your publishers’ names Song 33 Your name Your publishers’ names Song 34 Your name Your publishers’ names Song 35 Your name Your publishers’ names Note 1: You only need to list the publishers which are members of PRS in Table A. If you have any questions about Table A, please contact [email protected]. 1 January 2018 B. Please list where you will be performing the above works: B. CONCERTS Date Venue Country 01/01/2018 O2 Arena, London UK 03/01/2018 Genting Arena, Birmingham UK 05/01/2018 Echo Arena, Liverpool UK 07/01/2018 SSE Arena, Glasgow UK 09/01/2018 SSE Arena, Belfast UK 11/01/2018 3 Arena, Dublin UK 13/01/2018 Accor Arena, Paris France 15/01/2018 Lotto Arena, Antwerp Belgium 17/01/2018 Amsterdam Arena, Amsterdam Netherlands 19/01/2018 Lanxess Arena, Cologne Germany 21/01/2018 Barclaycard Arena, Hamburg Germany 23/01/2018 Velodrom, Berlin Germany 25/01/2018 Royal Arena, Copenhagen Denmark 27/01/2018 Scandinavium, Gothenburg Sweden 29/01/2018 Hakons Hall, Lillehammer Norway Note 2: Overseas societies may not be able to allow you to directly license in their territories due to restrictions in their local law or otherwise. Any position taken by overseas societies is separate from and will not affect any assignment to you by PRS. We do not accept any responsibility for the position taken by overseas societies or in their local laws. If you want to check whether direct licensing is possible and/or desirable in the countries listed in Table B, please contact [email protected]. Note 3: You may need to amend your sub-publishing arrangements for the countries in Table B. If you have any questions about Table B, please contact [email protected]. 2 .

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