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APPLICATION FOR VERIFICATION OF TITLE
1. Name of the applicant
(in CAPITAL LETTERS)
2. Name of the Owner
3. Nationality
4. Complete Address
5. Educational Qualification
6. Professional/Income
7. Name of titles
(in order of preference)
8. Language of the proposed publication
9. Periodicity
10. Place of Publication with full address
11. Weather the titles are same/similar to titles of
prominent foreign publication. If yes, then
attach copy of NOC from M/o I&B or license
agreement with foreign title owner to publish
the title in India.
12. Pan Card Number
13. Election ID card copy
(Duly attested by G.O.)
14. Name and Address of Printing Press
15. a) Contact No.
b) E-mail ID
16. Does the owner have any titles previously
allotted by RNI? If any, its status
HEMANTKUMAR MAHESHKUMAR VYAS
HEMANTKUMAR MAHESHKUMAR VYAS
INDIAN
A-138, SHREYANSNATH SOCIETY, NEAR VYASWADI
KATHWADA ROAD, NARODA, AHMEDABAD - 382330
M. PHIL (PHYSICS), M.TECH. (VLSI)
57484 /- INR
1. MEHSANA SUDARSHAN
2. MEHSANA DARPAN
3. GARVI MEHSANA
4. MEHSANA SAMBODHAN
5. MEHSANA WEEKLY
ENGLISH, GUJARATI & HINDI SINGLE AND/OR MIXTURE
WEEKLY SINGLE (AND/OR SPECIAL EDITION BASED ON
CIRCUMTANCES)
MEHSANA (NORTH GUJARAT)
NO
AJYPV7831M
MCS7808959
Free Lancing (On agreement base to vender)
+91 94 266 96 244
NO
Applicant’s Signature