FORM II
See Rule 6 (1)
Annual Statement in respect of the newspaper entitled……….for the period ending 31st December, 19……….
Serial Items Details of Particulars Remarks No. particulars of changes, if any, during the year with date(s) of changes
1 2 3 4 5
‘A’—GENERAL
1. Declaration under which the newspaper is published .
2. Registration number of the newspaper . . . .
3. Title of the newspaper . . . . . . .
4. Language(s) in which the newspaper is published
5. Periodicity of its publication:
(a) Whether a daily, tri-weekly, and be-weekly, weekly, fortnightly or otherwise . . . . .
(b) In the case of a daily, please state whether it is a morning or evening newspaper . . . .
(c) In the case of a newspaper other than a daily, please state the day(s)/date(s) on which it is ………………
6. Publisher’s Name . . . . . .
Nationality . . . . . . .
(a) Whether a citizen of India ? . . .
(b) If a foreigner, please state the country of origin
Address . . . . . . . .
7. Place of publication (please give the complete postal address).. . . .
8. Printer’s Name……….
Nationality………
(a) Whether a citizen of India ? . . . .
(b) If a foreigner please state the country of origin
Address . . . . . . . .
9. Name(s) of the printing press(es) where printing a conducted and the true and precise description of the premises on which the press(es) is/are installed………
10. Editor’s Name…………
Nationality…………
(a) Whether a citizen of India ?…………
(b) If a foreigner, please state the country of origin
Address………..
11. (a) Size of the page of the newspaper in metres and its description, e.g. demy, crown, etc……….
(b) Average number of pages per week in respect of daily, be-weekly, the-weekly and weekly newspapers .
(c) Average number of pages per issue in respect of other newspapers………..Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Total
12. Number of days of publication in the year
I, ..........................................., hereby declare that the particulars given above are true to the best (Name in block letters) of my knowledge and belief.
Date..... ......................... Signature of Publisher................
