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Application for Registration of a Copyright in a Performer’s

Performance, Sound Recording or Communication Signal


Please print. For assistance in completing the form, please refer to the “Assistance” page.

NOTICE: INFORMATION ENTERED IN THIS APPLICATION WILL BE PUBLISHED ON THE COPYRIGHT ONLINE
DATABASE THAT IS AVAILABLE FOR PUBLIC INSPECTION ON CIPO’S WEBSITE.

Note: It is the applicant’s responsibility to ensure the accuracy of the included information.

Privacy Notice
All personal information created, held or collected by the Canadian Intellectual Property Office is protected under the Privacy
Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of
access to that information. You will be asked for your consent where appropriate. Read the full notice: cipo.ic.gc.ca/notice


1. Title of the subject-matter:
Enter the title of the subject-matter. Note: The application must relate to the registration of only one performer’s
performance, sound recording or communication signal.


2. Subject-matter:
Select the type of subject-matter. For a performer’s performance, enter the date of its first fixation in a sound
recording or of its first performance if it is not fixed. Enter the date of first fixation for a sound recording,
or the date of broadcast in the case of a communication signal.

Type
Performer’s performance
1st Fixation
OR
1st Performance

Date (yyyy/mm/dd)
Sound recording – 1st Fixation

Date (yyyy/mm/dd)
Communication signal – Broadcast

Date (yyyy/mm/dd)

3. Owner:
Enter the name and address of the owner of the copyright. To add additional owners, please attach a separate sheet.

Family name First name

OR Name of other legal entity

Address


City/Town Province/State


Country Postal/Zip Code

OPTIONAL INFORMATION

Telephone Fax

Email Address


4. Declaration:
I/We hereby declare that the applicant is:
the owner of the copyright in the subject-matter;
an assignee of the copyright;
a licensee of the copyright.


5. Agent (if applicable):
This section is to be completed only if the application is being submitted by an agent acting on behalf of the applicant.

Family name First name

AND/OR Name of firm

Address


City/Town Province/State


Country Postal/Zip Code

OPTIONAL INFORMATION

Telephone Fax

Email Address
6. Fee:

In accordance with Item 1 of the Tariff of Fees, the prescribed fee is required for each application for registration
of a copyright. Payment should be submitted at the same time as the application using CIPO’s Fee Payment Form.
Please see the “Assistance” page for further details.

All correspondence should be addressed to:

Copyright Office Telephone: 1-866-997-1936


Canadian Intellectual Property Office Facsimile: 819-953-2476
Industry Canada
Place du Portage I Internet address: cipo.gc.ca/copyrights
50 Victoria Street Email: cipo.contact@ic.gc.ca
Gatineau, QC K1A 0C9

Please do no send copies of your work

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