THE KENYA COPYRIGHT BOARD
REQUEST FOR A CERTIFIED COPY
Name and address of person making
request
Physical address of the person making
the request
Name and address of the agent (if any)
Description of the document requested
Reasons for the request
Dated at …………………… this ……….. day of ………….. 20 ………
Signature(s) ………………………………….
Applicant(s)
NOTES:
1. Please use a separate form for each document requested.
2. This form may be used to obtain certified copies of documents or extracts.
3. Please describe any special requirements. If the space provided is not sufficient, please
use a separate sheet of paper.
FORM NO. CR 22 (r. 21)
THE COPYRIGHT ACT, 2001
THE KENYA COPYRIGHT BOARD
REQUEST FOR UNCERTIFIED COPY
Name and address of person making
request
Physical address of applicant
Name and address of the agent (if any)
Description of the document a copy of
which is requested
Reasons for the request