Application Number MAC3 Co-Production Fund Pre-Application Form [Company Name, ROC Number And Contact Details] KINDLY COMPLETE THE FORM AND SUBMIT TO Creative Multimedia Multimedia Development Corporation Sdn Bhd MSC Malaysia Headquarters 2360 Persiaran APEC 63000 Cyberjaya Selangor Darul Ehsan Attn to: Ms Eryani Bathowi Email: Eryani@mdec.com.my 1. DETAILS OF PROPOSED PROJECT 1.1 Title of Project 1.2 Type of Project (select one only): Animated series or feature film Computer/video game development: Visual Effects for film: 1.3 Synopsis of Project (please elaborate): 1.4 Project partners and Country of Origin: Partner 1: Partner 2: Partner 3: What is the basis of the co – production deal (the 1.5 project): 1.6 Which phase/process will your company be working on? Development Pre-Production Production Post-Production Others (please specify): 1.7 Is the project a new IP or based on an existing IP? New IP: Existing IP: 1.8 Does the project already have a distributor/publisher/broadcaster attached? (Y/N) 1.8.1 If YES, please state the distributor/publisher/broadcaster: 1.9 Are you located at an MSC Cybercity/Cybercentre? (Y/N) If YES, please state location: 2. COSTING OF PROPOSED PROJECT 2.1 Total Project Cost (in MYR): 2.2 Total Malaysian Project Cost (in MYR): 2.3 Please state all sources and amount of fundingutilised to complete the project: 2.4 Are there any portions of the Malaysian portion of the project which are outsourced? (Y/N) If YES, please state which phase: 2.5 Please state the proposed revenue share arrangement with the other partners of this project (please add as many Partners as necessary): MSC Status Company: Partner 1: The Company acknowledges that the submission of this pre-application form and/or the fulfillment of the Eligibility Criteria specified do not create an obligation or guarantee on the part of MDeC to approve the application herein. If this application is approved, any decision conveyed by MDeC to the recipient on the scope and amount of the funding offered (the “Grant”) and the conditions upon which the Grant is subjected to, shall be final and not open to any negotiation, appeal or recourse. If the application is rejected, the decision conveyed by MDeC to the Company shall be final and is not open to appeal or any other recourse by the Company. Submitted by and on behalf of …………………………………………………….<company name>…………….<company no.>: Signature : Date : Name / NRIC : Designation : Email : Phone :