Regulation 3 (2) UGANDA REGISTRATION SERVICES BUREAU THE COPYRIGHT AND NEIGHBOURING RIGHTS REGULATIONS, 2010 FORM 1 APPLICATION FOR REGISTRATION OF COPYRIGHT OR NEIGHBOURING RIGHTS FOR OFFICIAL USE Received on ……………………………… Date……………………… To: The Registrar of Copyright, Uganda Registration Services Bureau Kampala. 1 Title of work …………………………………………………………………………….. 2 Description of the nature of the work ……………………………………………………. 3 Full names of Author/Performer/Producer/Broadcaster…………………………….……. 4 Registered address………………………………………………………………………... 5 Date of birth……………………………………………….……………………….…….. 6 Date of death (if Author/Performer/Producer/Broadcaster is dead)………………….….. 7 Date of publication (if work is published)…………………………………………….… 8 Name and address of copyright claimants such as assignee, transferee or licensee, if any…………………………………………………………………………………….…. 9 If the registration being sought is for derivative work, state the pre existing work; Date and signature of the applicant …………………………………………………..…… 12