Application for Registration of Copyright
(See Rule 16)
To
The Registrar of Copyrights,
Copyrights Office, 
New Delhi.
Sir,
In accordance with Section.............................. of the Copyrights Act, 1957 (14 of 1957) I hereby apply for registration of Copyright and request that entries may be made in the Register of Copyrights as in the enclosed Statement of Particulars sent herewith in triplicate.
1. I also send herewith a duly completed, statement of further particulars relating to the work.
2. In accordance with rule 16 of the Copyrights Rules, 1958, I have sent by prepaid registered post copies of this letter and of the enclosed statement(s) to the other parties concerned, as shown below:
Name and Address of the Parties                 Date of Dispatch
3. The prescribed fee has been paid, as per details below :
Rs. 400/- (Rupees Four hundred Only) vide the Demand Draft (No………….) dated ……………….. 20……, drawn on ……………………… being filing fee for the above mentioned application. 
Communication on this subject may be addressed to :
1. I hereby declare that to the best of my knowledge and belief, no person, other than to whom a notice has been sent as per paragraph 2 above any claim or dispute to my copyright of this work or its use by me.
2. I hereby verify that the particulars given in this Form and the Statement of Particulars and Statement of further Particulars are true to the best of my knowledge, belief and information and nothing has been concealed therefrom.
List of Enclosures.
Place: 
Date: 
Yours faithfully, 
Statement of particulars
(to be sent in triplicate)
Yours faithfully,
……………………….

STATEMENT OF FURTHER PARTICULARS
( For Literary, Dramatic, Musical and Artistic Works Only)
( To be sent in triplicate)
Place : 					 
Date : 									
Yours faithfully,