Membership Form

To,                                                                                                                                                  
The General Secretary,                                                                                                                    
ASSOCIATION OF SMALL AND MEDIUM NEWSPAPERS OF INDIA                                                 
12 / 480 , Mecrobertganj, Kanpur - 208001. ( U.P. )

Dear Sir,                                                                                                                                       
Please  enroll us as member of the association. We agree to abide by memorandum and rules regulation laid down by the association . Particulars of our newspapers are as under:

  1. Name of Newspaper .......................................                                                                             
  2. Registration No. ...........................................     
  3. Periodicity .........................................                                                                 
  4. Established on .....................    
  5. Language .......................                                
  6. Circulation .......................       
  7. Price ...............                                                                              
  8. E -Mail ............................................   
  9. Phone .........................
  10. Place  of Publication ......................................................................                                                                    .......................................................................................... 
  11. Name of the Publisher ............................................                                                               
  12. Name & Address of Owner .............................................................. ...................................................... 

Date .................                                                         
                                                                                 Signature of Applicant            ________________________________________________
Enclosure
  •  Copy of RNI Certificate ,  
  • Latest Annual Return filed before 
  • RNI Copies of last two months.

Membership Fee                                                                                                                             
  1. Rs. 150/- for dailies , 
  2. Rs. 100/- for periodicals, 
  3. Rs.50/- for Identity Card.  
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