Registration Form - Vistarana Mass Communication Society

APPLICATION FOR ADMISSION AS A MEMBER

Name

Son of / Daughter of/ Wife of

Sex

Male Female Transgender

Age as on date/ Years.

Date of birth

Knowledge in the field

Personal Particulars/Details

Provide your experience details for serving to the public

Nationality

Religion

Residential address

Occupational / office / Business address

Phone No./ Mobile No.

Ration Card No.

Voter identity card No.

Aadhar card number

Upload Aadhar card

Upload Profile Photos

I hereby express my willingness to become a member in the Vistarana Mass Communication Society (Vistarana Info) and undertake to abide by the bye-laws of the society for the time being in force. This is a professional society to serve public by mass communication of acts/knowledge/ providing by writing letters etc. Trademark [CLASS : 41] Education services, providing of training, Publication of documents in the field of training, science, public law and social affairs Included in class 41.

Chief Mass Communicator

Journo K V R Prasad

APPLICATION FOR ADMISSION AS A MEMBER

Personal Particulars/Details