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Company Copyright Application Form

 

Copyright Questionnaire
Please fill up the form with all details as the same shall be utilized for providing opinion and drafting the applications.
Name of All Partners
(Only in case of Partnership Firms)
1.
2.
3.
4.
Applicant Name (Firm/Company/Trust/Society/Individual)
Constitution of Applicant (In case of Non Individual Applicants)
Full Name of the Signatory
Designation of the Signatory

Registered Address

Correspondence Address

Mobile Number
Landline Number
Language of Work
Type of Work (For e.g.: Artistic work, Books Etc.)
Brief Description of Work
Author of the Work (Please include the names of all Persons Involved in the work)

Author Address

Year of First Publication

Country of First Publication
Is the Applicant the Publisher (If no please provide the details in Below Fields)
Name, Address, Constitution and Nationality of the Publisher. (First Publication)
Publisher Name (Current Publisher If different from that of First Publisher)
Publisher Address (Current Publisher If different from that of First Publisher)
Constitution of Publisher (Current Publisher)
(In case of Non Individual Applicants)
Material for Copyright Enclosed
Form Submitted By (below details required for communication purpose only and will be not included in registration)
 
Full Name
Country/Phone
Email Address
  Additional message if you have any. (Optional)