Republic Day 2023 Media Registration form
Name
Designation
Gender
Male
Female
Other
D.O.B
Address
Nationality
Marital Status
Yes
No
Mobile No.
Email
Organisation
PIB Card
Yes
No
Upload PIB Card
Sponsorship Details
Upload recommendation letter issued by any PIB card holder of your organisation
Upload PIB card of the sponsor who has issued recommendation letter
Upload organisation’s ID card of the applicant
Spouse Name
Spouse Age
Spouse Mobile No.
*
Incomplete applications will be rejected.
Submit
