AUTHORIZATION (and ASSIGNMENT)

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Annex 3 AUTHORIZATION (and ASSIGNMENT) Under the provisions of the Regulation regarding the National Selection for Eurovision Song Contest 2017, in particular Article 2 (d) and in accordance with the relevant applicable legal requirements, holder of Identity Card series. no... issued by.. on.., holder of Identity Card series. no... issued by.. on.., 1 to be filled in by all the authors, performers and also by the producer's agent, if any. 1

and representative of.. with its head office in,.. Street, no.., district../.county, sole registration code.., Tax Identification Code., as PRODUCER (if applicable), In our capacity of holders of copyrights/related rights over the song entitled., enlisted for the national pre-selection and selection for Eurovision 2017 organized by SRTv, as well as in the case of winning the national selection, in the final of Eurovision 2017 which is to take place in Ukraine in the period 09, 11 and 13 May 2017, we hereby declare and undertake as follows: 1. We hereby declare on our sole responsibility that we are the holders of the copyrights/related rights and we grant all of them to all holders of the rights over the song / or for performing the song entitled.... 2. We hereby assign to (authorize) Societatea Romana de Televiziune (SRTv) the patrimonial copyrights and/or related rights resulting from our capacity of author/performer/producer of the song/recording, in the territory of Romania and abroad, throughout the entire period of the legal protection, without any payments (except those for which collective management is required by the law), including to consent to their utilization by others, as well as the right to authorize or to prohibit the following: - the recording of the performances on any media, during the contest; - the reproduction of the piece of work (including the reproduction of the lyrics or translations in brochures accompanying the commercial storage media -CD, DVD etc, on the internet or in the brochures made available to the audience, for subtitling, Karaoke, with or without audio media etc.), the reproduction of the recorded performances or (master) recordings on any media; - the distribution, rental and/or borrowing the audio-visual recordings (including Karaoke versions) of the shows, either individually or as part of any compilations on CDs, DVDs (or similar media) of the Eurovision contest and other digital media products, as a whole or separately under the official brand of the contest (EBU) or under the brand of SRTV or of their official partners; - the import of audio-visual recordings of the shows, as a whole or individually, for trading on the international market; - the radio-broadcasting and public communication, by any means, including, without limitation, the following utilizations: the performance of the song in shows, unlimited radio-broadcasting or the performances given in shows (live or recorded, in whole or in part) on TV or on the Radio (land, satellite, antenna, cable, fiber or wireless transmissions), public communication on the Internet and/or the mobile networks, by 2

webcasting, simulcasting, video streaming, download ringtone or any other possible utilization, including the simultaneous and unaltered re-transmission (cable retransmission), irrespective of technical standard - analogue, digital or HD -, for the reception and playback on any type of receiver (tv set, giant screen, wall projection, computer monitor, mobile mini-receivers, mobile phones) irrespective of its location (including public spaces, cinemas, performance halls) and regardless the mode of financing of the service, whether a free or a pay service etc.; - the public availability, allowing access from any location and at any chosen time, individually by the public, by any interactive utilization method (video on demand etc.); - the cable re-transmission; - the creation of other works, derived by adaptation (by the integration, in whole or in part, in any video clip, show or audio-visual production, promo etc.) or by translation, compilations etc. of the song and/or of the performance of the song entitled.... and enlisted for the national selection for Eurovision 2017, organized by SRTv. 2.1. The assignment of the patrimonial copyrights and related rights is exclusive throughout the duration of the contest on the Romanian territory and non-exclusive on the international territory. After the contest ends, the assignment shall be non-exclusive throughout the entire legal protection period. 2.2. If SRTv decides to create media products on commercial media (CD/DVD, etc.) or digital products with the songs participating in the Eurovision contest, it shall pay to the right holders the emoluments provided by the methodologies in force. In the absence of any methodologies, the emoluments shall be paid from the amounts collected by SRTv as follows: 10% for the authors, 10% for the performing artists and 10% for the producer (if applicable). 2.3 We hereby guarantee that we are the holders of all granted rights and we are responsible for any third party's claim related to the rights granted to SRTv. 3. We hereby guarantee that the text of the song entitled..... does not discredit the Eurovision 2017 contest and does not have an obscene, political or advertising content. 4. We shall provide the translation and adaptation in French and English of the lyrics if the song entitled... wins the Eurovision 2017 National Selection, therefore, we authorize (assign the patrimonial copyrights and/or related rights for recording, reproduction, audio-visual adaptation, full and/or sequential radio-broadcasting, retransmission, public communication, including through Internet availability to the public and distribution, over the translation (derivative work) throughout the entire legal protection period, in the Romanian territory and worldwide, under the conditions mentioned above. 3

5. We hereby acknowledge and confirm SRTv s capacity of organizer and producer of the National Selection in any public show and any reference to the Eurovision 2017 contest. 6. We shall not sign any agreement with third parties or institutions for the promotion of the song entitled...and we shall not promote this song during shows, radio or TV programs, for any of the phases of the Eurovision 2017 National Selection, or for the international phase of Eurovision 2017 organized in Ukraine, without SRTv s written consent 7. We shall comply with the rehearsal and shooting/live transmission schedule communicated by SRTv and we shall not take any actions which might affect such schedule. 8. We shall comply with the show concept set out by SRTv for the winning song for the final of the contest organized in Ukraine, as well as for the video clip of the winning song (stage design, costumes, direction etc.); 9. We shall be available to promote the Eurovision 2017 schedule (National preselection and selection and the final organized in Ukraine), according to SRTv s strategy (promotional shootings, press interviews, photo shootings, press conferences etc.); 10. We shall mention the name of SRTv and of the co-organizers (if applicable) as Organizer, whenever we make a public reference to Eurovision; 11. We shall behave in a civilized manner and make no tendentious or negative reference to the contest or the organizer during the Eurovision 2017 contest starting from the pre-selection period, for a period of 6 months after the end of the final organized in Ukraine. 12. We grant the Organizers, upon their request, the right to take interviews/photo shootings etc. 13. We shall inform the Organizers in advance of all the PR activities we intend to carry out, in addition to the promotion package created by the Organizers (interview/photo shootings proposals, invitations to TV/radio shows etc.); 14. We shall wear the signs of Eurovision, of the Organizers and the Sponsors while we stay in Ukraine for the final of Eurovision 2017; 15. We shall not use the brands of Eurovision or SRTv or any other brand associated to the project, without the Organizers prior express consent; 16. If the PERFORMER refuses to perform the song entitled... in the National Selection for Eurovision 2017, in the 4

semifinal or the final of Eurovision 2017 which is to take place in Ukraine in the period 09, 11 and 13 May 2017, he/she undertakes to promptly pay SRTv an indemnification of EUR 100,000, without any further formalities or any notice of default or court intervention being required. In addition, he/she shall bear all the costs incurred by TVR in organizing the Preselection and the National Selection, as well as the material damage claimed by EBU. In case of force majeure, the PERFORMER may be replaced with the agreement of SRTv, no damages being claimed. 17. If the WINNING PERFORMER in the National Selection Eurovision 2017 fails to be present at the time when the award is announced and delivered at the place of transmission, he/she undertakes to promptly pay SRTv an indemnification of EUR 100,000, without any further formalities or any notice of default or court intervention being required. In case of force majeure, the PERFORMER may be replaced with the approval of SRTv, no damages being claimed. 18. We hereby authorize the utilization, reproduction, printing and publication of the name, images, voices, pictures and biographies of the author, the performer and the right holders within the context of promotion, broadcasting and/or commercial exploitation of the shows, by all currently known and future means and media, for an unlimited period of time. This also includes the utilization of photographs and any other audio - video materials created during the rehearsals and backstage, for DVD compilations, the websites www.eurovision.tvr.ro and www.eurovision.tv or any other media product. In this respect, we hereby authorize the right to digitally launch the photographs and any possible logos of the artists, as delivered separately or as a whole (one file for each), e.g. for wall papers. 19. The author, the composer and/or the producer hereby agree that the lyrics of the song may be used, with or without its audio version, by any person participating with the song in any contests and that the audio-visual record of the performance may be published free of charge and broadcasted anywhere in the world, for an unlimited number of times and an unlimited period of time, by any technical means (including television, Internet, broadband and mobile telecommunication technology, etc.), i.e. to: (i) perform the song using the karaoke version of its audio recording as soundtrack, (ii) make audio-visual recordings of this performance, so that such recordings could be made public free of charge (e.g. through downloads and/or streaming) and TV broadcasted worldwide for an unlimited number of times and an unlimited period of time, by any technical means (including TV, Internet, broadband and mobile telecommunication technology). 20. The artists have the obligation to take part in the press conferences organized by SRTv and EBU. The winning artist (artists) has/have the obligation to take part in the official press conference taking place after the national and international finals, to authorize the utilization of any recording on any media channel (including the Internet), without any time and territory limitations. 5

21. The artists have the obligation to return the clothes and the properties made available by SRTv based on a report of receipt, within maximum 7 days after the end of the contest, otherwise they hereby undertake to pay to SRTv the equivalent value of the goods supplied. I have taken note of the Regulation for participation in Eurovision 2017 and the EBU Regulation and I hereby undertake to follow them. I have also become aware that the breach of any of the above obligations (1-21) will entitle the Organizers (SRTv and any co-organizers) to claim damages from the undersigned, for any material damage and/or damaged reputation suffered by the Organizers (SRTv and any co-organizers) or by any third party to whom the Organizers (SRTv and any co-organizers) might be obliged, based on a final decision of a court, to pay damages as a result of such breach. AUTHOR, PERFORMER, PRODUCER, 6