Collecting Society. Collecting Society/Collecting Society FORM NO. CR 20 (r. 20 (2)) THE COPYRIGHT ACT, 2001 The Executive Director, The Kenya Copyright Board. APPLICATION TO USE FOLKLORE UNDER SECTION 49 (d) OF THE ACT Name and address of the applicant(s) Physical address of the applicant(s) Name and address of the agent (if any) Details/description of folklore to which this application relates I/We, the applicant(s) identified above, hereby apply to use the folklore specified above. My/Our purpose for which folklore is to be used is: The actual intended use of folklore is: I/We declare that the folklore the use of which I/We have applied for shall not be used for any other purpose. BEFORE ME COMMISSIONER FOR OATHS Dated at ………………….. this ……….. day of ………….. 20 ……… Signature(s) ……………………………… Applicant(s) FORM NO. CR 21 (r. 21) THE COPYRIGHT ACT, 2001

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