Form - Power of Attorney C - Representative of underage performer

U ime maloljetnih umjetnika izvođača – državljana Republike Hrvatske punomoć potpisuju i prava ostvaruju njihovi zakonski zastupnici kojim ovlašćuju HUZIP za zaštitu prava zastupanog umjetnika izvođača za cijeli svijet.

Please enter the data into the provided fields. Fields marked with an asterisk are mandatory.

Name and surname of underage performer: *
Residential address of underage performer (street, city, ZIP code, country): *
Name and surname of legal representative: *
Residential address of legal representative (street, city, ZIP code, country): *
Telephone:
GSM:
E-mail:
Master citizen number or no. of identity card: *
Personal identification number: *
Bank name: *
Giro account IBAN: *
Account owner: *
Member of the second pillar pension insurance: *
Liable to VAT (opcionalno):
I keep business records (books) (opcionalno):

Personal data of the represented performer

Name: *
Surname: *
Stage name:
Maiden name:
Sex: *
Date of birth: *
Place: *
Country: *
Master citizen number or no. of identity card: *
Personal identification number: *
Country of residence: *
Performing capacity:
List all instruments used on the recordings:
Member of orchestra/group (state the name and date of joining):
Previous engagements in orchestra/group:
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The completed form should be downloaded and then printed, signed in own hand in where necessary and send by regular post to the address:

HUZIP
Ivana Broza 8A
10000 Zagreb