AUTHORISATION ::Autorska Agencija za Srbiju
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AUTHORISATION



FOR THE CONCLUSION OF AUTHORS AGREEMENT


I hereby dully authorise JAA - Serbian Authors Agency to conclude authors agreement, in my name and my behalf and for my account (as well as in the name and behalf and for the account of my associates), with following:

(name and address of the legal enterprise - user of the authors work)
PIB :
(tax identification number)
Represented by :

(name and sur name of the authorized person in the legal enterprise)
For the production of the authors work

By the oral agreement the term for the delivery of the work is

Agreed authors royaties :

to be paid :
(write number of installments, amounts and schedule of payments)

AUTHOR (rightholder)
With associates
Name and surname :
Street :
No :
Residence place and municipality :
Personal nr :
Nationality :
Accounts nr :
Bank :
Tel :
Professional training level :
Kind of professional training :
E-mail :
Health insurance on whatever basis Yes No
Social insurance
(mark the type of the insurance) :
employed
self-employed
unemployed
active military
retired military person
Insurance of retirement and disability for employees
Insurance of retirement and disability for self-employed persons
heir/rightholder
freelance artist
person engaged in agriculture
Which of the Republic funds for retirement and disability insurance are you insured with
With the Funds for the retirement and disability insurance of employees
With the Funds for the retirement and disability insurance of self-employed
With the Funds for retirement and disability insurance of farmers
I enclose the copies of the documents certifying my social insurance: insurance application, the decision of retirement, decision of the tax authority for the freelance artists and similar
I hereby dully authorize JAA - Serbian Authors Agency to carry out the collection of the author's royalties, in my name and on my behalf (as well as in the name and behalf of my associates), to deduct the related taxes, contributions and Agency's fees, to carry out the payments of my royalties to my personal account as well as to the accounts of my associates. I also enclose the list of my associates with their particulars and conditions for the repartition of the royalties, which presents the integral part of this authorization .
I certify under the moral, economic, and criminal responsibility that above personal details are valuable and correct, and I declare that in the event of the occurence of any changes given in this authorization, I shall inform the Agency, in that respect, with no delay.
Agency will bear no responsibility for any eventual incorrect data delivered by the authors/rightholders/users behalf, on basis of which it carries on the activities of legal protection and effectuation of the copyright and related rights in the capacity of the legal representative of the authors and on their behalf and for their account.
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