FORM NO. CR 24 (r. 23 (2))
THE COPYRIGHT ACT, 2001
The Kenya Copyright Board
The Secretary,
Competent Authority

REQUEST FOR EXTENSION OF TIME
Name and address of applicant(s)
Physical address of the applicant
Name and address of the agent (if any)
Copyright registration number (if any)
IN THE MATTER OF ……………………………………………………
………………………………………………………………………………
I/We, the applicant(s) identified above, apply for an extension of time.
The extension of time requested is …………………days.
The grounds or reason for the request are as follows –

Dated at ………………… this ………… day of ………… 20 ………
Signature(s) …………………….
Applicant(s)
SECOND SCHEDULE
(r. 4 (2))
FEES

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