9416072768

                                                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:

1. Name               :   ………..………………………………………………………………
2. Newspaper / Channel.. : ..………………………………………………………………
3. Working Area  : …….……………………………………………………………………
4. Designation     :  …………………………………………………………………………
5. Holder Address : ……..…………………………………………………………………

……..……………………………………………………………………………………

6. Contact No.     :            …..………………………………………………………………
7. 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)