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Print Form Clear Form APPLICATION FOR COPYRIGHT REGISTRATION * Designates Required Fields 1WORK BEING REGISTERED 1a. * Type of work being registered (Fill in one only) Literary work Visual arts work
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. First serial issue: Issue(s) of which the application is a registration for (including issue not numbered by date) 1e. First series issue: First issue of a series for which the application is a registration for (including issue not numbered by date) 1b. First serial issue: Issue(s) of which the application is a registration for (including other serial series) 1c. First serial issue: Issue(s) of which the application is a registration for (including other serial series) 2. Type of Application 2a. Type of work being registered: Literary work 1a. Type of work being registered: Visual arts work 1b. Type of work being registered: Sound recording 1c. Type of work being registered: Motion picture/audiovisual work 2b. Category of works being registered 2i. Registration date: 1b. Registration date: (18/07/13, 11/04/11, 14/03/11) 2ii. Filing date: 1b. Filing date: 1-5 Months 3. Description of the work 2ii. Description of the work: (Photograph / Illustrative image of design; Illustration; Model of work; Logo (brand name), etc.) 3a. Date of registration: 2B. Date of registrations 1 (17/07/13; 01/05/11) 3b. Reason for registration by 1/19/15 (non-compliance with 1)e. 3e. In the event that an application is refused the reason, 2H. The application could be resubmitted 1B. In the event that an application is refused a reason or a further statement is required 3f. In the event that there is an error on the application as to the identification of the work, 3i. In the event that there is an error on the application as to its author or coauthor, 3j. In the event that no authors/coauthors have been identified on the application (including if the application claims to be a registration for the work), 3h. In the event that there is an error on the application as to the date of registration, 3i. In the event that there is an error on the application as to the registration date, 3j. In the event that the copyright registration number is missing, 3i.
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