QU OF NT AT A FE RU

BERMUDA

COPYRIGHT (CUSTOMS) REGULATIONS 2014

BR 13 / 2014

PART 1I, …………………………………………………………………….. give notice that

[Full name of signatory in BLOCK LETTERS]

………………………………………………………………………............................

[Name and address of owner of copyright]

is the owner of the copyright in the work specified below which subsists under the Copyright and Designs Act 2004 and that infringing copies of the work are expected to arrive in Bermuda and I request that these copies be treated as prohibited goods.

COPYRIGHT (CUSTOMS) REGULATIONS 2014

PART 2Particulars of Work

Title: ………………………………………………………………………………………

Label, marking or statement on work: …………………………………….........

………………………………………………………………………………………………

Date copyright expires: ……………………………………………………………….

PART 3Expected arrival in Bermuda

Time: ……………………………………………………………………………………..

Place: ……………………………………………………………………………………..

PART 4Details of expected importation

(a) Place of customs declaration ……………………………………………..

(b) Place of unloading …………………………………………………………..

(c) Country of origin …………………………………………………………….

(d) Country from which goods consigned…………………………………..

(e) Bill of lading/air waybill/consignment reference number ………...

(f) Name of ship/aircraft flight number/vehicle registration number ……………………………………………………………………………………

(g) Name and address of importer/consignee ……………………………. ……………………………………………………………………………………

(h) Tariff classification and commodity code ……………………………...

PART 5Declaration

I declare that the information given by me in this notice is true.

Signature ................................................................................ Date ....... (*Owner of copyright/Authorized agent of owner of copyright)

COPYRIGHT (CUSTOMS) REGULATIONS 2014

*Delete whichever is inappropriate.

PART 6Please send the completed notice, enclosing the fee and a copy of the work, to:

Collector of Customs H.M. Customs P.O. Box HM 2084 Hamilton HM HX Bermuda

Made this 6th day of February 2014

Minister of Finance