This is an application under section 48 (2) or an appeal under section 21 (1) of the Act to
the Authority. (Delete whichever is not applicable)
Name and address of applicant(s)/appellant(s)
Application or decision appealed against to the Authority
If only part of the decision is appealed against, description of that part of the
decision (use of paper if necessary)
Grounds on which the application or the appeal is based:
Order or other relief sought:
Names and address of the other parties to the application or the appeal.

Dated at ……………….. this ……….. day of ……………… 20……
Signature(s) of applicant(s), appellant(s) or agent(s) ……………………
FORM NO. CR 19 (r. 18 (6))
THE COPYRIGHT ACT, 2001
The Secretary,
Competent Authority.
REPLY TO APPLICATION OR APPEAL TO THE AUTHORITY UNDER
SECTION 48 (2) OR 21 (1) OF THE ACT
In the matter of
This is a reply to the application or appeal described above.
Name and address for service of the person filing the reply (Board or
collecting society):
Physical address:
Grounds of opposition:
A statement of the facts relied upon and supporting evidence by way of a statutory
declaration or an affidavit, is attached.
Dated at …………………. this ………… day of ………… 20 ……….
Signature ………………………
Executive Director/The Kenya Copyright Board

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