THE COPYRIGHT ACT, 2001 THE KENYA COPYRIGHT BOARD REMITTANCE OF FINES PAYABLE TO THE BOARD UNDER SECTION 38 (10) OF THE ACT BY THE COURT Particulars of the Court making the remittance Criminal Case Number Name and address of the convict Amount of the fine imposed by the Court Amount remitted to the Kenya Copyright Board Registration number, where applicable, of the copyright work infringed Name and address of the owner of the copyright work infringed I, …………………………………. do hereby remit the sum of Kenya shillings ………………………….. (KSh. ……………….) being half of the fine imposed by the above court on the convict in the above criminal case. Dated at ……………… this …………day of ………………….., 20 ……… Stamp of the Court Signature(s) ……………………………… Designation FORM NO. CR 11 (r.14 (3)) THE COPYRIGHT ACT, 2001 CERTIFICATE OF AUTHORITY TO ACT AS A COPYRIGHT INSPECTOR UNDER SECTION 39 (1)

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