It is hereby confirmed that ……………………………… was appointed by the Board as a Copyright Inspector on the …………… day ……………….. 20 ……………. and is authorized to discharge duties of a Copyright Inspector in Kenya assigned to him by the Board under the provisions of the Act and these Regulations. Dated at Nairobi this ………… day of ………………., 20 ….. ………………………………….. Executive Director, The Kenya Copyright Board. ………………………………………… Signature and Personal Number of Copyright Inspector Seal of the Board FORM NO. CR 12 (r. 15 (1)) THE COPYRIGHT ACT, 2001 THE KENYA COPYRIGHT BOARD APPLICATION FOR REGISTRATION AS A COLLECTING SOCIETY UNDER SECTION 46 (2) OF THE ACT Name and address of the society Physical address of society Name and address of agent (if any) Date and number of registration of the society under the Companies Act Number of members of the society Class of copyright owners represented