L.f. 1962
28
COPYRIGHT REGULATIONS, 2010
FOURTH SCHEDULE
APPLICATION FOR APPROVAL TO OPERATE A COLLECTIVE
ADMINISTRATION SOCIETY
(regulation 22)
APPLICATION FORM
I.
Name ofthe Society ................................................................................................................ .
2.
Is the society registered under the Companies Act, 1963 (Act 179). Yes
(if the answer is Yes provide evidence of registration).
3.
Give the location ofthe address of the society's registered office ...................................... .
4.
What is the entire membership strength of the society? .................................. (provide
evidence of membership indicating where members are domiciled and the nature and
title of published works owned by them.
5.
What type of right does the society intend to administer (Tick as appropriate)
6.
0 No D
0
D
(i)
Music
(ii)
Perfonners
ciii)
Audiovisual
0
(iv)
Literary
0
(v)
Others
0
We the undersigned hereby declare that the infonnation provided above is accurate to
the best of our knowledge.
i
Signature
Full Name
Position
ii.
Signature