Signature …………………………
Executive Director
The Kenya Copyright Board.
FORM NO. CR 14 (r. 15 (3))
THE COPYRIGHT ACT, 2001
THE KENYA COPYRIGHT BOARD
APPLICATION FOR RENEWAL OF REGISTRATION OF A COLLECTING
SOCIETY
Name and address of collecting society
Physical address
Name and address of agent (if any)
Date of registration
Class of copyright owners
Application number
Registration number
Any change which occurred during the
past year (use a separate sheet, if
necessary)
We hereby apply for renewal of the registration of the society as a collecting society for
the period …………………………………
We attach hereto a certified copy of our audited accounts for the year 20 ……………
Dated at …………………… this …………… day of ………………., 20 …..
Seal of the Society
Signature(s) .......................................