ASIA Records Application Form

Please provide the following information to apply for an ASIA Records title

Application Information

Country *

Record Type (Please tick one)

Organization / Association / NGO Name (if applicable) *

Brand Name (if applicable) *

Applicant Name (Full Name) *

Contact Number (e.g., ‪60123456789‬) *

Email *

Preliminary Record Title *

Brief Description of Record Attempt / Presentation *

Date of Record Attempt / Presentation *

Location of Record Attempt / Presentation *

Application Fee Billing Details

Billing Name (Full name of individual or organization to be billed) *

Company Registration Number (if applicable)

Billing Address *

Contact Person *

Contact Number *

Email Address for Invoice *

Nominations & Consent

Nominated By

Please ensure that all information provided is accurate and complete. Once you have filled in the form, submit it to begin the application process. *

I agree I do not agree

By submitting this form, you acknowledge that you have read and understood the guidelines and requirements outlined by ASIA RECORDS for applying for a record title. * *

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Please send me updates regarding ASIA Records by * *

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