MEMBERSHIP FORM Please Sign here for the I
Card
|
To
The
President
Union of Journalist ( Regd. )
Working Area : All India
WhatsApp No. 9416072768
STATE
………………………….
Dear Sir,
I wish to apply for admission as a Member of
the “UNION OF JOURNALIST”. My brief particulars are as under:
- Name : ………..………………………………………………………………
- Newspaper / Channel.. :
..………………………………………………………………
- Working Area : …….……………………………………………………………………
- Designation :
…………………………………………………………………………
- Holder Address :
……..…………………………………………………………………
……..……………………………………………………………………………………
- Contact No. : …..………………………………………………………………
- Date of Birth : ……………………………………………………………………
2. I certify that:
(i) I
unconditionally subscribe to the aims & objects of the Society / Trust and
contribute towards attainment of the same.
(ii) I will abide
by the Byelaws of the Society/Trust, as applicable and amended from time to
time.
(iii) I have not
been convicted of an offence involving moral turpitude involving imprisonment.
3. I am enclosing herewith the following
Documents:(i)Copy of proof of Press Identity.
(ii) Membership
Fee Rs.200/- drawn in favors of “UNION OF JOURNALIST” or Canara Bank Account
No. 3224101003771, ( IFSC Code :
CNRB0003224 ) towards membership fee
or for the year up to 31 Dec 2018.
4. I request you to kindly admit me as a
Membership of the “Union of Journalist”.
Thanking
you, yours faithfully
Dated: _______________
(Signature
of the Applicant)
