Please complete all sections of this form. Submit the completed form and attachments to the designated copyright officer or legal department at [Your Company Name].
Applicant InformationPlease provide your personal information below. | |
Name: | [Name] |
Job Title: | |
Contact Information: | |
Company Name: | |
Startup InformationPlease provide all relevant information about your startup. | |
Startup Name: | |
Startup Description: | |
Legal Structure: | |
Contact Information: | |
Primary Business Activity: | |
Representative Name: | |
Representative Position: | |
Copyright InformationPlease provide the details of the work you want to register a copyright for. | |
Title of Work: | |
Category of Work: | |
Date of Creation: | |
Date of Completion: |
Certification:
I hereby certify that the information provided in this form is accurate to the best of my knowledge and belief. I affirm that I have the right to apply for copyright on behalf of the named author(s) or that I am the author of the work. I understand that [Your Company Name] may use this information to register the copyright with the relevant authorities and that any false representation may result in liability under the law.
Signature:
[Your Name]
[Job Title]
[Date]
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