22

L.I. 1962

COPYRIGlIT REGULATIONS, 2010

F

TRA:'I:SFER (if the copYright claimants) named above are different from the author give a brief
statement of how the claimant obtained ownership of the copyright) REF CS.
RE-ARRANGEMENTS AND ADAPTATION
If any of the works listed above were either of folkloric origin, re-arranged or adapted by
applicant. Kindly list them here providing their original authors/composer if known.
TIfLE

COMPOSER

I

2
G

3
4.

6
PRODlJCERlPlIBLISIIER

H

NAME (Firm/Co

/P~rson)

LABEL/PRODUCTION MARK
ADDRESS

PREVIOUS REGISTRATION
• Has registration for this work, or an earlier version of this work been made in the copyright

office? YES...

. NO ..

If YES, why is another regi::;tration bemg sought? (Check the appropriate box)
( ) l'hi:s is the ticst publi::;hcd ~dJtjon of the wor"- prc\iou:,ly registered In unpublished demo fonn
(

) This is the tirSI application submllted by thi.s author as Copyright claimant

(

) ThiS is a changed version of the work.

If your answer is YES give the following Illfonnalion
Year of Registration ..

Previous Regisu·auon munber ..
Were you issued with a certificate

Yes ..

No ..

If Yes glvcthc Ct.:atifil.:ate Nwnbt!r ..

COI\II'ILATlON

cm

DERIVATIVE WORKS (Read the Instructions)

DERIVA­
TIVE

WORKS

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