We attach herewith all the documents referred to in Regulation 19 (3). Dated at …………………… this ………… day of ……………., 20 ….. Signature(s) ……………………… Seal of the Society FORM NO. CR 17 (r. 17) THE COPYRIGHT ACT, 2001 The Secretary, Competent Authority. AN APPLICATION FOR COMPENSATION OR FOR PAYMENT OF ROYALTIES TO THE AUTHORITY UNDER SECTION 26 (1) (j), 27 (2), 28 (2) OR (4) OF THE ACT This is an application to the Authority Name and address of applicant(s) Physical address of applicant(s) Grounds upon which the application is based Order, other relief sought or amount of compensation sought Names and address of the other party or parties to the application Dated at …………………….. this ………….. day of ………………. Signature(s) of applicant(s) or agent ……………………………. FORM NO. CR 18 (r. 18 (2)) THE COPYRIGHT ACT, 2001 The Secretary, Competent Authority. APPLICATION OR APPEAL TO THE COMPETENT AUTHORITY UNDER SECTION 48 (2) OR 21 (1) OF THE ACT