Pursant to Section 9B

Voluntary Copyright Registration Service

Application and Declaration of Copyright Ownership and/ or Authorship

Notes to assist you in filling out this form
First Name (*):
Middle Name :
Surname Name (*):
is the Author/Owner of the copyright.
Mailing Address (*):
Telephone Number (*):
Email Address (*):
Date of Birth (*) :
Country of Citizenship (*):
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Total Payable :
I/WE MAKE THIS SOLEMN DECLARATION conscientiously believing the same to be true and by virtue of the provisions of the Voluntary Declaration Act.
Copyright Act of Jamaica 2015, s 9B