Form of Declaration
FORM I
(See Rule 3)

I,…., declare that I am the *printer or *publisher or *printer and publisher of the newspaper entitled….to be *printed at…..and *published at…….or to be *printed and published at……………..and that particulars in respect of the said newspaper given hereunder are true to the best of my knowledge and belief.
1. Title of the newspaper.
2. Language(s) in which it is (to be), published.
3. Periodicity of its publication.
(a) Whether a daily, tri-weekly, 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 (to be) published.
4. Retail selling price of the newspaper per copy.
(a) If the newspaper is for free distribution, please state that it is “for free distribution”.
(b) If it has only an annual subscription and no retail price, please state the annual subscription.
5. Publisher’s name.
Nationality.
(a) Whether a citizen of India?
(b) If a foreigner, please state the country of origin.
Address.
6. Place of Publication (please give the complete postal address).
7. Printer’s name.
Nationality.
(a) Whether a citizen of India
(b) If a foreigner, please state the country of origin.
Address.
8. Name(s) of the printing press(es) where the newspaper is actually printed and the true and precise description of the premises on which the press(es) is/are installed.
9. Editor’s name.
Nationality.
(a) Whether a citizen of India ?
(b) If a foreigner, please state the country of origin.
Address.
10. Owner’s name(s).
(a) Please state the particulars of individual(s) or of the firm, Joint Stock Company, trust, co-operative society or association which owns the newspaper.
(b) Please state whether the owner owns any other newspaper and, if so, its name, periodicity, language and place of publication.
11. Please state whether the declaration is in respect of—
(a) A new newspaper, or
(b) An existing newspaper,
(c) In case the declaration falls under item (b), the reason for filing the fresh declaration.
Date_____________________________
Signature__________________________
Name (in block letters)_________________________
Designation______________________________
*Strike out whatever is not applicable.
NOTE.—Separate declarations should be filed by the printer and the publisher, unless the printer and the publisher is the same person.