FORM IV
(See Rule 8)
Statement about ownership and other particulars about newspaper
(.............................)
to be published in the first issue every year after the last day of February
1. Place of Publication _____________________________________________
2. Periodicity of its Publication
________________________________________
3. Printer's Name ____________________________________________
Nationality ______________________________________
(a) Whether a citizen of India ? ____________________________
(b) If a foreigner, the country of origin ________________________________
Address
4. Publisher's Name ________________________________________
Nationality ____________________________
(a) Whether a citizen of India ? ____________________________
(b) If a foreigner, the country of origin ________________________________
Address
5. Editor's Name _______________________________
Nationality ____________________________
(a) Whether a citizen of India ? ____________________________
(b) If a foreigner, the country of origin ________________________________
Address
6. Names and addresses of individuals who own the newspaper and partners or
shareholders holding More than one per cent of the total capital.
I , ..........................................., hereby declare that the particulars given above
are true to the best of my knowledge and belief.
Date ................ Signature of publisher.........................
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