Form B Regulation 9 COPYRIGHT ACT COPYRIGHT ACT (CAP 51) Application for Registration of related Documents Application is hereby made for registration (1) Specify type of document i.e. contract, licence, assignment of the accompanying document(s), namely. (1)...............".................................... .......... ................................................................... ................................................................... which document(s) r_late(s) to a copyright registered under reference (2) ........................ (2) State reference number of registered copyright if known .,... .and which document(s) reIate(s) to the said copyright in that it/they (3) ....... .................................................................... My/Our address for service in Seychelles is ................................................................... ................................................................... Dates this day of Registered Owners(s) ,19 (3) State briefly the purport of the document including the name of any person authorized to use the registered copyright and the scope of his authority.

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