UGANDA REGISTRATION SERVICES BUREAU THE COPYRIGHT AND NEIGHBOURING RIGHTS REGULATIONS, 2010 FORM 6 APPLICATION FOR REGISTRATION OF LICENCE To: The Registrar of Copyright, Uganda Registration Services Bureau Kampala. 1. Registration No …………………………………………………………. 2. Title of work …………………………………………………………… 3. Nature or category of work…………………………………………….. Owner of the copyright or neighbouring right, present on record (a) Name……………………………………………………………. (b) Address…………………………………………………………… (c) Nationality……………………………………………………… 4. Licensee (a) Name……………………………………………………………. (b) Address…………………………………………………………… (c) Nationality……………………………………………………… (d) Country of residence or principal place of business…………….. 6 Particulars of the instrument, if any, under which the licence is claimed i.e. certified copy of contract or other document evidencing change of ownership……………………………………………………………… Restrictions, if any, in the licence i.e (a) the proposed term of licence begins on …………………… and ends on ………………… or is without period; (b) The licence will/ will not be an exclusive licence; Signature of applicant/Licensee……………………………………… FOR OFFICIAL USE Received on …………………………Date……………………………………. 17