The change of ownership was effected by:
A deed of assigning the copyright work
Any other instrument (specified in the attached sheet of paper).
I/We attach copies of the documents required under Regulation 9 (3).
Dated at …………………… this ………… day of ……………., 20 …..
Signature(s) ………………….
Applicant(s)

FORM NO. CR 7 (r. 10 (3))
THE COPYRIGHT ACT, 2001
LETTER OF VERIFICATION OF ASSIGNMENT OF A COPYRIGHT WORK
UNDER SECTION 33 (3) OF THE ACT
It is hereby certified that upon an application filed on the …………………... day
of …………………….. 20 …………… by ………………………of ………………….…
…………………………………………………………………………
for verification of the assignment of a copyright work in the ……………….. category
entitled ………………………….……………………………………………
between…………………………………………………………………………
of ……………………………… and …………………………………………
of ………………………………………………………………………………
and given registration number …………………………………………………
has been verified by the Board.
Dated at Nairobi this ………… day of ………………….., 20 ……………..

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