Signature(s) ……………………… Applicant(s) FORM NO CR 9 (r.12 (5)) THE COPYRIGHT ACT, 2001 CERTIFICATE OF APPROVAL TO PURCHASE AN AUTHENTICATION DEVICE UNDER REGULATION 12 (5) It is hereby certified that upon an application filed on the ……………day of ………………., 20 ………..by ………………………………………. of ……………………………………………………………………….. under Regulation 12 (5), the Board has granted its approval to ……………………………………………… of ………………………………………………………………… to purchase the requisite authentication device(s) numbering ………………………………………………………………………………… in respect of the sound recording or audio-visual work(s) entitled …………………………………………………………………………………. from Kenya Revenue Authority. Dated at Nairobi this …………… day of ………………….., 20 ……….. Seal of the Board Signature…………………………… Executive Director, The Kenya Copyright Board. FORM NO. CR 10 (r.13))