FORM NO. CST 11
COPYRIGHT SOCIETY OF TANZANIA(COSOTA)
THE COPYRIGHT AND NEIGHBOURING RIGHTS ACT, 1999
(ACT NO. 7 OF 1999)
(PART 3)
APPLICATION TO PURCHASE A HAKIGRAM FROM COPYRIGHT
SOCIETY OF TANZANIA
__________
1.
2.
3.
4.
5.
6.
( Made under Regulation 11)
__________
Name of Producer …………………………………………………………………………
Address:……………………….Tel:………………………………….Fax………………..
Title of work for which a Hakigram is being
purchased…………………………………………………………………………………….
Number of HAKIGRAMS required…………………………………………………….
Name of author(s) composer of work ……………………………………………..
(i) Has the producer obtained consent of the composer to produce
the
work ? Yes/No………………………………………………………
7.
(ii) If yes attach proof of Agreement
DECLARATION
I/We declare that the information given above is true to the best of my/our
knowledge and the belief and that any misinformation provided by me/us
renders my/our application null and void.
Declared at ………………………………………….of………………………..200……
………………………………………………….
APPLICANT’S SIGNATURE
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