1.
2.
3.
4.
5.
6.
7.
8.
9.
FORM NO. CST5
THE COPYRIGHT SOCIETY OF TANZANIA, COSOTA
THE COPYRIGHT AND NEIGHBOURING RIGHTS ACT, 1999
(NO. 7 OF 1999)
GROUP MEMBERSHIP APPLICATION FORM
_____
(Made under Regulation 7)
Fee 10,000
_____
Name of Group ………………………………………………………………… …………
Different spellings …………………………………………………………………………
Date and Year of Foundation………………………………………………………….
Place of Foundation …………………………………………………………………….
Country ………………………………………………………………………………………
Registration Certificate No……………………………………………………………..
Legal Form…………………………………………………………………………………….
Representatives
(Name) ………………………………………….(Title)………………………………………
(Name) ………………………………………….(Title)………………………………………
(Name) ………………………………………….(Title)………………………………………
(Name) ………………………………………….(Title)………………………………………
Other Group Members
(Name) ………………………………………….(Title)………………………………………
(Name) ………………………………………….(Title)………………………………………
(Name) ………………………………………….(Title)………………………………………
(Name) ………………………………………….(Title)………………………………………
We hereby declare and confirm that the above information is true and that any
royalties collected by COSOTA in respect of the works whose author/composer
is still a member of the group shall be paid to the respective group and the
said group shall distribute to their members as per the work declaration forms
issued by COSOTA.
Name…………………………………..Role………………Signature…………….. Date………..
8