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PERSONAL INFORMATION

Name is required.

Date of birth is required.

Permanent address is required.

Mobile number is required. It's numbers only.

It's numbers only.

Email is required. It's not a valid email id.

Educational qualification is required.

Mother tongue is required.

Aadhar number is required.

ORGANIZATION INFORMATION

The News Paper / Magazine/Media is required.

Name and Address is required.

Daily / Periodically is required.

Designation is required.

Total Service is required.

FAMILY INFORMATION

Father Name is required.

Mother name is required.

UNION / Proposed by

I hereby declare that the information given details furnished above are true to the best of my knowledge and belief. I am not a member of any other Journalists Union and promise that my membership and related documents will be used for union terms and condition with legal liable for good purpose only. I authorize that the NJU to cancel my membership at point of time, “If found Violation of the law and union terms & Condition”.