Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada

Search

Educational Program, Work and Other Subject-matter Record-keeping Regulations (SOR/2001-296)

Regulations are current to 2020-12-28

SCHEDULE(Subsection 6(1))

Information Record

Educational Institution identifier (if assigned): blank line

Name and address of institution: blank line

blank lineblank line

blank lineblank line

blank lineblank line

Contact name: blank line

Telephone: blank line Facsimile: blank line E-mail: blank line

Details of Program, Work or Subject-matter

Copy identifier: blank line

Title of program, work or subject-matter: blank line

Other identifying information: [e.g. episode title, subject, segment description, song title(s)]

Duration of segment copied: blank line minutes

Date of broadcast (yy/mm/dd): blank line Time of broadcast: blank line

Name, network, call sign or other identifier of the broadcaster: blank line

Record of Public Performances

(List only performances for which royalties are payable)

blank lineyy/mm/dd blank lineyy/mm/dd

blank lineblank lineblank line

blank lineblank lineblank line

blank lineblank lineblank line

blank lineblank lineblank line

(Use separate sheet to list additional performances)

Record of Destruction

I certify that the copy of the program, work or subject-matter identified above has been destroyed.

Name: blank line Title: blank line

Signature: blank line Date of Destruction (yy/mm/dd): blank line

 
Date modified: