MEMBERSHIP

Membership Number: #0027782

GENERAL INFORMATION

Individual or Band:

BAND INFORMATION

Band Name:
Number of Band Members:
Details of Band Members:

PERSONAL INFORMATION OF APPLICANT

Title: Mr
Surname: Shabalala
Name: Michael Shabalala
Date of Birth: 00/00/0000
Nationality: zar
SA ID Number / Passport Number: 000
Home Language: 000
Postal Address: 304 Oak Ave, Randburg, Gauteng 2193, ZA
Postal Code: 2193
Residential Address:304 Oak Ave, Randburg, Gauteng 2193, ZA Residential Code: 2193
Cellphone Number/s: (277) 237-4591
Alternative Contact Number:
Email Address: thapelomichael07@gmail.com
Annual Income: 10000

MUSIC PRODUCTION INFORMATION

Expense Category: Studio Rental, Mastering Costs
Amount applied for: 15000

DOCUMENTS

DECLARATION:

Signature of Applicant

2022-06-14

DOES APPLICATION QUALIFY FOR REVIEW?

--- not set --- Yes No