It is hereby confirmed that ……………………………… was appointed by the Board as
a Copyright Inspector on the …………… day ……………….. 20 …………….
and is authorized to discharge duties of a Copyright Inspector in Kenya assigned to him
by the Board under the provisions of the Act and these Regulations.
Dated at Nairobi this ………… day of ………………., 20 …..
…………………………………..
Executive Director,
The Kenya Copyright Board.
…………………………………………
Signature and Personal Number of Copyright Inspector

Seal of the Board
FORM NO. CR 12 (r. 15 (1))
THE COPYRIGHT ACT, 2001
THE KENYA COPYRIGHT BOARD
APPLICATION FOR REGISTRATION AS A COLLECTING SOCIETY UNDER
SECTION 46 (2) OF THE ACT

Name and address of the society
Physical address of society
Name and address of agent (if any)
Date and number of registration of the
society under the Companies Act
Number of members of the society
Class of copyright owners represented

Select target paragraph3