Transfer of copyright registration

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Transfer of copyright registration

Form F-04 V2.4

Fields in bold and marked with an asterisk ‘*’ are required and must be entered.

Current account holder’s details

Account number *

Title * (Mr./Mrs. etc.)

First name(s) *

Last name *

Company/organisation (leave blank if not applicable)

Country *

Address *

State *

Postal/ZIP code *(leave blank if not applicable)

Telephone

Email address

I hereby give notice that all copyrights pertaining to the work detailed below, are to be or have been transferred to the person or organisation detailed below. I certify that the information I have provided is correct and that the work to be transferred does not infringe copyright or other rights of any other party.
Signed(Account holder/Authorised agent)
Date

Applicants under 18 should also obtain signature from a parent or guardian:
Name of Parent/Guardian
Signature

Details of the new owner

Account number(leave blank if you are not an existing account holder)

Title * (Mr./Mrs. etc.)

First name(s) *

Last name *

Company/organisation (leave blank if not applicable)

Country *

Address *

State *

Postal/ZIP code *(leave blank if not applicable)

Telephone

Email address

I hereby accept the terms and conditions and certify that the information provided is correct and that the work does not infringe copyright or other rights of any other party.
Signed(Account holder/Authorised agent)
Date

Applicants under 18 should also obtain signature from a parent or guardian:
Name of Parent/Guardian
Signature

Details of the work to be transferred

Please enter exactly as you wish it to appear on the registration certificate

Registration number *

Title of work *

Name of the new owner *

Number of paper certificates @ £2.50 each

(One certificate is included in the fee, please indicate if others are required)

By printing this form, you agree to the terms and conditions.

Payment details

Paying by cheque of postal order

Please make cheques/postal orders/international money orders for UK Pounds Sterling (GBP), and made payable to ‘Copyright Witness Ltd’.

Paying by credit/debit card

Payment method (tick one)	Visa Credit Mastercard Visa Debit UK Maestro American Express
Cardholder’s name (name exactly as it appears on the card)
Card number
Valid from date - Month/Year (if shown)
Expiry date - Month/Year
Issue number (if it appears on your card, otherwise leave blank)
Security code (3 or 4 digit code, normally found on signature strip)
Company/organisation (leave blank if not applicable)
Cardholder’s address Postal address including postal/ZIP code
Cardholder’s country
Telephone
Email address
We recommend that an email address or telephone number is given, in case of any problem regarding payment.
Cardholder’s signature

Please send the completed form and payment to:

UK Copyright Service - Registration Services

4 Tavistock Avenue

Didcot

Oxfordshire

OX11 8NA

United Kingdom

The prices quoted on this form are valid until the end of January 2025. After this time please visit our web site at www.copyrightservice.co.uk to obtain a valid application form.

This form uses JavaScript, but it appears that your browser either does not support JavaScript or you have turned JavaScript off. To proceed without JavaScript, please use the PDF form

which includes full instructions. Alternatively, you may try enabling JavaScript and restarting your browser.