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e.g. xyz@xyz.com
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Residential Address (India) Line 2
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Visa Valid Upto
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Copy of Visa
Copy of Passport
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Principal language of Media Organization
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Only one Language
Whether Seeking extension
Twitter ID
Special Interests
e.g.(“Economic Diplomacy, Southeast Asia, Neighborhood”)
Letter of Extension
Replacing Whom
Lease Agreement
Journalist Profile
Office address ( in India)
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Designation
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Journalist Category
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Print Media Correspondent
Online Correspondent
Audio/Visual Correspondent
Photo /Camera Personnel
Freelance Correspondent
Freelance Photo/Camera Personnel
Working with the current employer since
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Date of first arrival in India
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Location of Head Office Country
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--Select Country/Region--
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo [Democratic Republic]
Congo [Republic of]
Cook Islands
Costa Rica
Cote d Ivoire [Ivory Coast]
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kingdom of Eswatini
Kiribati
Korea (DPR)
Korea (ROK)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg [Grand Dutchy of]
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania [Islamic Republic of]
Mauritius
Mexico
Micronesia [Federated States of]
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and Grenadines
Samoa
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga Islands
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Yemen
Zambia
Zimbabwe
Head of Organization
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Editor-in-Chief
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Office Address
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Previous Organizations
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Note:- PIB Card should be scanned in the .DOC,.DOCX,.PDF,.XLS,.XLSX,.PPT,.PPTX format. Size of file must be less than 2 MB. It is mandatory to upload either the PIB card or Letter of Authorization from Organization.ust be less than 2 MB. It is mandatory to upload either the PIB card or Letter of Authorization from Organization.
Letter of Authorization from Organization
Note:- Letter of Authorization should be scanned in the .DOC,.DOCX,.PDF,.XLS,.XLSX,.PPT,.PPTX format. Size of file must be less than 2 MB. It is mandatory to upload either the PIB card or Letter of Authorization from Organization.
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