Name and Address of the PublisherPeriodicity of PublicationPublished on National Portal of India (india.gov.in)/-(To be submitted through the district magistrate/additional district magistrate/licensingauthority from where the paper is published )Name of the owner of the Printing Press,where the Newspaper/periodical is printedName and address of the Printing Press where the Newspaper/periodical is printe9. Circulation (this should be shown items wise, namely(a) subscriber copies(b) Complementary copies(c) Voucher copies and(d) Exchange copies and areas where it is (e) Language in which published.)circulatedRsAPPLICATION FOR INCLUSION OF NEWSPAPER/ PERIODICAL IN THEGOVT APPROVED LIST FOR GOVERNMENT ADVERTISEMENTSPeriodicalNewspaper/ 1.Name of2Name and Address of the Editor3456Name of the owner orowners of the Newspaper/periodical (Mentioning whether ownership is proprietary,cooperative,private limited or trust etc).78Price per issue Signature of ApplicantDatePlacePublished on National Portal of India (india.gov.in)Certificate of circulation figure to be obtained from the District Information & Public Relations Officer concerned. Whether the Newspapers/periodicalSocioeconomic or other aspects. deals with literary, political, cultural or Yes NoWhether the Newspaper/periodical has subscribes to independent.I hereby affirm that the above particulars are true and correct to the best of my be liable for cancellation.10.1112anypolitical affiliation orany political ideology orknowledge and belief. If any of the above information is found incorrect, my application shall
