Schedule 1
FORMS
Form 1
Notice of reference under section 31
R20
revenue stamp
or franking
machine impression
COPYRIGHT ACT, 1978
COPYRIGHT TRIBUNAL
NOTICE OF REFERENCE UNDER SECTION 31
To:
The Registrar
Copyright Tribunal
c/o Patents Office
Pretoria
1.
Take notice that (name and address of organisation or person making the
reference) (hereinafter referred to as 'the referrer') hereby refers to the
Tribunal the licence scheme hereinafter described, operated by the (name
and address of licensing body) (hereinafter called 'the licensing body'), which
is a licensing body for the purpose of the Copyright Act, 1978.
2.
The scheme to which this notice relates (hereinafter called 'the scheme') is
(short description of scheme).
3.
The referrer is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 * (an organisation claiming to be a representative of persons requiring
licences in cases)/(a person claiming that he requires a licence in a case) to
which the scheme applies.
4.
(Here give grounds for statement in paragraph 3. Where referrer is an
organisation, particulars should be given of the persons it claims to represent
and grounds on which it claims to be reasonably representative of them.)
5.
A dispute has arisen between the referrer and the licensing body in the
following circumstances (give particulars of dispute).
6.
The referrer submits that the scheme is unreasonable in the following
respects (give particulars).
7.
All communications regarding this reference should be addressed to . . . .(2).*
(the referrer at the address shown above)/[the referrer's attorney(s)/agent(s),
whose name and address are as under].
8.
A copy of this notice has been sent to the licensing body at the address
shown above.
Signed .........................................................
* Status of signatory .....................................
Date .............................................................