Our reasons for making the request for registration as a collecting society are as follows: We attach herewith all the documents referred to in regulation 15 (1) in support of our application. Dated at ………………… this ………… day of ……………., 20 ….. Signature(s) ……………………………. Seal of the Society FORM NO. CR 13 (r. 15 (2)) THE COPYRIGHT ACT, 2001 CERTIFICATE OF REGISTRATION OF A COLLECTING SOCIETY UNDER SECTION 46 (2) OF THE ACT It is hereby certified that ………………………………………………… ……………………………………………………………………… has been registered as a collecting society under section 46 (2) of the Act under registration number …………………………….. for the ……….. category of owners of copyright and related rights. Dated at Nairobi this …………. day of …………….., 20 ……….. Seal of the Board