Seal of the Board
………………………………………
The Kenya Copyright Board
FORM NO. CR 3 (r. 9 (1))
THE COPYRIGHT ACT, 2001
THE KENYA COPYRIGHT BOARD
APPLICATION TO AMEND NAME OR ADDRESS OF THE COPYRIGHT
HOLDER
Name and address of the copyright
holder(s)/applicant(s)
Physical address of the copyright
holder(s)/applicant(s)
Name and address of agent (if any)
Application number
Category of copyright work
Copyright registration number (if any)
I/We, the applicant(s) identified above apply to amend the following in the Copyright
Register-
The details of the requested amendment(s) are attached:
Dated at …………………… this …………… day of ……………., 20 …..
Signature(s) ………………………
Applicant(s)
FORM NO. CR4 (r. 9 (2))