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CT FORM 12

By Evelyn Wagner,2014-05-06 10:22
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CT FORM 12

    FORM 12

    Regulation 29

    COPYRIGHT ACT

    (CHAPTER 63)

    COPYRIGHT TRIBUNALS (PROCEDURE) REGULATIONS

    REFERENCE

To: The Secretary, Case File No. ______________

     Copyright Tribunals.

     In the Matter of a Reference under section 162 of the Copyright Act by _____________

    __________________________________________________________________________________

    ____________________________________________________________________

    1. I _________________________________ of __________________________

    (hereinafter called the Referor), being

    *(a) the licensor operating a licence scheme *confirmed/*varied by a Copyright Tribunal

    by an order dated ___________________ and bearing the case file No.

    _____________;

    *(b) an organisation claiming to be representative of persons requiring licences in cases

    included in the class of cases to which an order of a Copyright Tribunal dated

    ________________ and bearing the case file No. ____________ applies;

    *(c) a person claiming that he requires a licence in a case included in the class of cases to

    which an order of a Copyright Tribunal dated _______________ and bearing case file

    No. __________________ applies,

    * with the leave of a Tribunal dated __________________________ case file No.

    _____________________, hereby refer again to a Tribunal the said licence scheme, in so far as the

    scheme relates to cases included in the class of cases to which the said order applies, for an order

    *confirming/*varying/*substituting/*further varying the licence scheme as the Tribunal considers

    reasonable in the circumstances.

     *2. The grounds for my statement in paragraph 1(b) are as follows: _____________

    ___________________________________________________________________________

    ___________________________________________________________________________

    3. The class of cases to which the said order applies is as follows:

    ___________________________________________________________________________

    __________________________________________________________________________.

     4. The class of cases to which this Reference relates is as follows:

    ___________________________________________________________________________

    __________________________________________________________________________.

    5. Since the making of the said order a dispute has arisen between the Referor and

    ______________________________ in the following circumstances (Give particulars of matter in

    dispute):

    ___________________________________________________________________________

    ___________________________________________________________________________

    ___________________________________________________________________________

    6. The grounds on which the Referor desires to refer the licence scheme again to a

    Copyright Tribunal are as follows:

    ___________________________________________________________________________

    ___________________________________________________________________________

    7. The Referor’s address for service is __________________________________ __________________________________________________________________________.

    Made this _______________ day of ________________ 20____.

    _________________ ____________________________

     Filing date Signed *by/*on behalf of the Referor.

     (*Mr/*Mrs/*Miss) _____________

     Status of signatory if Reference is

    signed on behalf of the Referor.

     ____________________________ *Delete whichever is inapplicable.

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