CITIZEN REPORTER – Newsmedia Association of India

First Name *

Last Name *

Father / Spouse Name *

Date of Birth *

Sex *

Male

Female

Transgender

Nationality *

Marital Status *

Married

Not-Married

Educational Qualification *

Non-Graduate

Diploma

Graduate

Post-Graduate

Permanent Address *

Present Address *

Email *

Mobile No *

Language Known *

Nature of Business *

Occupation * Occupation

Designation

State *

Union Territories

District *

Area Ward No/Village

Area Police Station

Name of the Proposer / Introducer

Passport Size photo *

Maximum file size: 33.55MB

Signature for ID Card *

Maximum file size: 33.55MB

ID Proof *

Maximum file size: 33.55MB

You can submit your Front and back of Aadhar card as a ID Proof as well as Address Proof.

Address Proof *

Maximum file size: 33.55MB

You can submit your Front and back of Aadhar card as a ID Proof as well as Address Proof.

Media Type

Citizen Reporter

Name of the News Portal *

Chief Editor *

Phone *

Email *