FIRST SCHEDULE (Sections 3, 7, 10, 11, 13, 14)
FORMS

APPUCATION FOR A COPYRIGHT AND NEIGHBOURING RIGHTS
FOR OFFICIAL USE

CNRFORMI
Section-46 of Act
Section 7(5) of Regulations

Received on ............ ;.............. .
AFFIDAVff
TO:

Registrar of Copyright & Neighbounng
Rights

HARARE'
\

1. IN THE MATTER d'F: ...... ,; .......:............................................;................... .

.Reg/Application No;: .....•..•..••....•...

Filing date .f.................... ; ...... ..

TItle of work: ................................ .

Reg. date ................................. .

Category of work: ........................................... ,.......................................... .
2.

in my capacity as .......................... .

I, ........................... ;.................... w.

of .............................................................................................................................. ..
do heret>y make oath and aver as follows:

.................................................................... ...................................................................... .
..............................:.......................···r·························,.······ .... ················ ............................. .
~

········v· .. ································· .. ·· ... ···· ................................................................................... .
..............................................:.......... ••••••••••••••••••••••••• ~ •••••••••••••••••••••••••••.•••••••• J ••••••••••••••••••••••••

Signed and Sworn to before me at .: ............... this ., ............. day of ............. 20............... ..

Signature of Deponent
Justice of the Peace/Commissioner of Oaths!
Notary Public.

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