Category of copyright work Date of fixation/reduction into material form Title of the copyright work I/We, the applicant(s) identified above apply for registration of the above copyright work as I/We attach hereto two copies of the copyright work (where applicable). We hereby declare that the copyright work, the subject of this application, is an original work. BEFORE ME COMMISSIONER FOR OATHS Dated at …………………… this …………… day of …………., 20 ….. Signature(s) ………………………… Applicant(s) THE COPYRIGHT ACT, 2001 FORM NO. CR 2 (r. 8 (9)) CERTIFICATE OF REGISTRATION OF A COPYRIGHT WORK It is hereby certified that a copyright work in the …………….. category entitled ……. and numbered ……………………………………………. …………………………………………………………………………………………. has been registered in the name of ………………………………………. ………………………………………………………………………………………. of ……………………………………………………………………… in respect of an application for registration of a copyright work No. ……… Dated at Nairobi this ………… day of ………………….., 20 …………