Form C Regulation 10 COPYRIGHT ACT (CAP 51) Request for Search The Registrar is hereby requested to search (1) Describe the relevant work as fully as possible in respect of (l).............................................. ................................................................... (2) Address to ascertain whether any copyright or document relating thereto, meeting the above description/resembling the work sent herewith (Delete as applicable) are on record. Dates this day of , 19 The Registrar, Registrar of Copyright Office. ........................................................ (2) ............................................................. .

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