General Entertainment On Demand (GEOD) Licence Form General InformationName of Licensee*Registered Company number (provide the licensee's status if not registered e.g. Sole Trader, Partnership)*Address* Street Address Address Line 2 State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Contact Name*Phone Number*Email* Date of Launch of Service* Date of Termination of the Service Service InformationPlease outline the nature of service (e.g. video on demand service, IPTV, podcast, audio visual download service)Please tell us about your business model (e.g. is content made available to consumers free of charge, on a subscription basis, ad-revenue supported, paid per use, or in any other way including combinations of the above?)If subscription, what is your estimated number of subscribers?Estimated revenue from the service, and on what basis (e.g. how much per download or per month etc.)Please describe the content that will be made available (e.g. sports, comedy, feature files, TV programmes)Will the consumer be able to retain any downloads permanently, or is all content either streamed or set to time out after a certain period? (download-to-own or temporary/rental)Streaming/Rental Where the consumer does not keep a download permanently (e.g. streaming or temporary download which ‘times out’ within 30 days) Download to Own Where the consumer keeps a download permanently (e.g. electronic sell-through or unrestricted download)How many total hours of viewing do you expect per month/year?Streaming / RentalDownload to Own Average duration of a piece of content:Streaming / RentalDownload to Own Price points (if applicable):Streaming / RentalDownload to Own For how much of this music have you secured a 'buy out' for all mechanical rights for on-demand usage?Streaming / RentalDownload to Own If applicable, as a percentage, approximately how much of total content is newly created?Streaming / RentalDownload to Own Where are you sourcing your content - is it acquired/pre-existing, or are you creating new material?Category*NewsShoppingDramaMusicFactualArtsAdultMoviesChildren's TVSportGeneral Entertainment Please indicate which of the following categories best represents the content on your service - if you offer more than one type of content, please indicate the approximate percentages of each Please supply any relevant further information (such as list of content or programming, business plan, usage projections etc.) that may assist us in understanding the type and scale of service you are proposing:Please ensure the information contained within this document is accurate to the best of your knowledge.Please note that no licence, whether express or implied, shall be taken to have been granted by IMRO or MCPSI or their respective members merely by completion of this application form.