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FORMXIV
APPLICATIONFORREGISTERATIONOFCOPYRIGHT
[SEERULE70]
DiaryNumber:2456/2015CO/L
To
TheRegistrarofCopyrights,
CopyrightOffice,
NewDelhi:110001.
Sir,
InAccordancewithSection45oftheCoprightAct,1957(14of1957),Iherebyapplyfor registration of
CopyrightandrequestthatenteriesmaybemadeintheRegisterofCopyrightsasintheenclosedStatementof
Particulars.
1. I also send herewith duly completed the Statement of further Particulars relating to the work. (for
Literary/Dramatic,Musical,Atristicworksonly)Literary/Dramaticworks
2.Inaccordancewithrule16oftheCopyrightRules,1958,Ihavesentbyprepaidregisteredpostcopiesof
thisletterandoftheStatementofParticularsandStatementofFurtherParticularstootherpartiesconcernedas
shownbelow:
NameofParty
S.Sabareesan
S.Karthik

AddressofParty

DateofDispatch

AssistantProfessor,DepartmentofMechanicalEngineering,
PSNACollegeofEngineeringandTechnology,Dindigul624622
AssistantProfessor,DepartmentofMechanicalEngineering,
PSNAcollegeofEngineeringandTechnology,Dindigul.624622

16/03/2015
16/03/2015

[Seecolumns7,11,12,and13oftheStatementofParticularsandpartyreferredincol.2(e)oftheStatementof
FurtherParticulars.]
3.Theprescribedfeehasbeenpaid,asperdetailsbelow:500/
PaymentID
125556

PaymentDate
16/03/2015

Amount
500

4.Communicationsonthissubjectmaybeaddressedto:

BankName
ICICI

PaymentMode
NB

S.Sabareesan
AssistantProfessor,
DepartmentofMechanical
Engineering,PSNAcollegeof
EngineeringandTechnology,
Dindigul.624622
9445701437

5.Iherebydeclarethattothebestofmyknowledgeandbelief,noperson,otherthantowhomanotice
hasbeensentasperparagraph2aboveanyclaimorinterestordisputetomycopyrightofthisworkoritsuseby
me.
6.IherebyverifythattheparticularsgiveninthisFormandtheStatementofParticularsandStatmentof
FurtherParticularsaretruetothebestofmyknowledge,beliefandinformationandnothinghasbeenconcealed
therefrom.
ListofEnclosures:
1.2CopiesofWork
2.DD/IPOofRs.500PerWork
3.Authorizationfromauthor/publisher
4.Iftheapplicationisbeingfiledthroughattorney,aspecificPowerofAttorneyinoriginaldulysignedby
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theapplicantandacceptedbytheattorney
Place:
Date:16/03/2015
For:S.Sabareesan

Proprietor

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STATEMENTOFPARTICULARS
(Tobesentintriplicate)
DiaryNumber:2456/2015CO/L
1.

RegistrationNumber

2.

Name,AddressandNationalityoftheApplicant

3.

NatureoftheApplicant'sinterestintheCopyright Author
ofthework

4.

Classanddescriptionofthework

Literary/DramaticWork

5.

Titleofthework

Portablebandsawcutter

6.

Languageofthework

English

7.

Name,AddressandNationalityoftheAuthorand
iftheAuthorisdeceased,thedateofdecease.

NAME:S.SabareesanADDRESS:AssistantProfessor,
DepartmentofMechanicalEngineering,PSNAcollegeof
engineeringandTechnology,Dindigul.624622,Indian
NAME:S.KarthikADDRESS:AssistantProfessor,
DepartmentofMechanicalEngineering,PSNAcollegeof
EngineeringandTechnology,Dindigul.624622,Indian

8.

WhethertheworkisPublishedorUnpublished

Unpublished

9.

YearandCountryoffirstpublication,andName,
AddressandNationalityofthepublisher

N/A

10.

YearandCountriesofsubsequentpublications,if
any,andName,AddressandNationalityofthe
publisher

N/A

11.

Name,AddressandNationalityoftheOwnersof
thevariousrightscomprisingthecopyrightinthe
workandextentofrightsheldbyeach,together
withparticularsofassignmentsandlicence.Ifany

NAME:S.SabareesanADDRESS:AssistantProfessor,
DepartmentofMechanicalEngineering,PSNAcollegeof
engineeringandTechnology,Dindigul.624622,Indian
NAME:S.KarthikADDRESS:AssistantProfessor,
DepartmentofMechanicalEngineering,PSNAcollegeof
EngineeringandTechnology,Dindigul.624622,Indian

12.

Nameandaddressandnationalityofother
N/A
persons,ifanyauthorizedtoassignorlicencethe
rightscomprisingthecopyright

13.

Iftheworkisan'Artisticwork',thelocationofthe N/A
originalwork,includingname,addressand
nationalityofthepersoninpossessionofthe
work,(Inthecaseofanarchitecturalwork,the
yearofcompletionoftheworkshouldalsobe
shown)

14.

Iftheworkisan'Artisticwork'whichisusedor
N/A
capableofbeingusedinrelationtoanygoods,the
applicationshouldincludeacertificationfromthe
RegistrarofTradeMarksintermsoftheprovision
toSubSection(i)ofSection45oftheCopyright
Act,1957

15.

Iftheworkisan'Artisticwork'whetheritis
N/A
registeredundertheDesingsAct2000ifyesgive
details.

16.

Iftheworkisan'Artisticwork'capableofbeing

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NAME:S.SabareesanADDRESS:AssistantProfessor,
DepartmentofMechanicalEngineering,PSNAcollegeof
engineeringandTechnology,Dindigul.624622,Indian
NAME:S.KarthikADDRESS:AssistantProfessor,
DepartmentofMechanicalEngineering,PSNAcollegeof
EngineeringandTechnology,Dindigul.624622,Indian

N/A
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registrarasadesignundertheDesignsAct2000,
whetherishasbeenappliedtoanarticlethough
anindustrialprocessand,ifyes,thennumberof
timesitisreproduced
17.

Remarks,ifany

Place:
Date:16/03/2015
For:S.Sabareesan

Proprietor

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STATEMENTOFFURTHERPARTICULARS
(Tobesentintriplicate)
(ForLiterary/Dramatic,MusicalandArtisticworksonly)
DiaryNumber:2456/2015CO/L
1.Istheworktoberegistered
(a)anorginalwork?

: Yes

(b)atranslationofaworkinthepublicdomain? : N.A.
(c) a translation of a work in which Copyright
subsists?
(d) an adaptation of a work in the public
domain?
(e)anadaptationofaworkinwhichCopyright
subsists?

: N.A.

: N.A.

: N.A.

2.Iftheworkisatranslationoradaptationofaworkin
whichcopyrightsubsists
(a)Titleoftheoriginalwork

: N.A.

(b)Languageoftheoriginalwork

: N.A.

(c) Name, address, and nationality of the

author of the original work and if the author is : N.A.
deceased,thedateofdecease
(d) Name, address, and nationality of the
publisher,ifany,oftheoriginalwork

: N.A.

(e) Name, address, and nationality of the

publisher, or adaptation including the name, address : N.A.
andnationalityofpartyauthorizing
3.Remarks,ifany
Place:
Date:16/03/2015
For:S.Sabareesan

Proprietor

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