[ 129 ]
GOVERNMENT OF PUDUCHERRY
GENERAL ADMINISTRATION (INFORMATION AND
PUBLICITY) DEPARTMENT
(G.O. Ms. No. 3, dated 28th June 2013)
NOTIFICATION
The issue of identity cards to the media representatives of the
Union territory of Puducherry, keeping in view the special nature of the
service rendered by them to the society in creating a sense of socio
and political awareness among the people, has been engaging the
attention of the Government for quite sometime.
Registered with the Registrar
of Newspapers for India under
No. M. 8270
Registered No.
TN/PMG(CCR)/42/2012-14
WPP No. 88(556)
Dated : 9-7-2013
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Amflºƒˆ \VWÈ ∂´E>µ
La Gazette de L' État de Poudouchéry
The Gazette of Puducherry
PART - II
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EXTRAORDINAIRE
EXTRAORDINARY
∂]ÔV´D ÿ√u≈
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Published by
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®ı
Amflºƒˆ
ÿƒÀkVF¬˛wÁ\
2013 } ÛÁÈ | 9 {
No. 24 Poudouchéry Mardi
9
Juillet
2013
No.
Puducherry
Tuesday
9th
July
2013
(18 Asadha 1935)
130
LA GAZETTE DE L'ETAT
[PART–II
2. The Government have proposed to specify the procedure for
the issue of identity cards to the media representatives of the Union
territory of Puducherry, by means of separate rules and regulations.
3. The Lieutenant-Governor, Puducherry, is therefore pleased
to approve and notify the Puducherry Media Representatives Identity
Card Rules, 2013 for the issue of identity cards to the media
representatives of the Union territory of Puducherry, as appended in
the Annexure to this notification.
4. This issues with the concurrence of the Finance Department
vide their I.D.No. 17152/2013/FD/F3, dated 31-5-2013.
(By order of the Lieutenant-Governor)
GIDDI MRUTHYUNJAYA DURGA RAO,
Under Secretary to Government (I & P).
————
ANNNEXURE
GOVERNMENT OF PUDUCHERRY
DIRECTORATE OF INFORMATION AND PUBLICITY
PUDUCHERRY MEDIA REPRESENTATIVES IDENTITY CARD
RULES, 2013
1. Short title and commencement.— (1) These rules may be
called as the Puducherry Media Representatives Identity Card Rules, 2013.
(a) It shall be extended to the whole of the Union territory of
Puducherry.
(b) It shall come into force on and from the date of its
publication in the official gazette.
2. Object.— The object of these rules are to issue identity cards
to the media representatives in the Union territory of Puducherry,
keeping in view of the special nature of service rendered by them
to the society in creating a sense of socio-political awareness among
the people.
131
PART–II]
LA GAZETTE DE L'ETAT
3. Definitions.— In these rules, unless the context otherwise
requires,—
(a) “Directorate” means the Directorate of Information and
Publicity, Puducherry;
(b) “Electronic media” means audio and visual media units
engaged in broadcasting/telecasting of news and registered with
Ministry of Information and Broadcasting, Government of India,
New Delhi;
(c) “Form” means any of the forms appended to the rules;
(d) “Government” means the Administrator of the Union
territory of Puducherry appointed by the President of India
under Article 239 of the Constitution;
(e) “Media representative” means a media representative who
has rendered service within the Union territory of Puducherry,
as full-time Editor/News Editor/Sub-Editor/Reporter/Press
Photographer/ Videographer/Correspondent of Print/ Electronic
Media/News Agency;
(f) “News Agency” means an agency which is engaged in the
business of collecting news and selling them to the media
organisations;
(g) “Print media” means a newspaper/periodical registered
with the Registrar of newspapers for India, Government of
India, New Delhi;
(h) “Printer” means, one who prints the periodicals registered
with Registrar of newspapers for India, New Delhi;
(i) “Regional
Headquarters”
means,
the
Municipal
headquarters of Puducherry, Karaikal, Mahe and Yanam regions.
4.1. Media Identity Card Recommendation Committee.— The
Media Identity Card Recommendation Committee constituted herein
shall consist of the following members and Chairman and the
Committee is authorised to decide the issue of identity cards to the
media representatives:-
132
LA GAZETTE DE L'ETAT
[PART–II
(i) The Secretary to Government of Puducherry . . Chairman
(Information and Publicity).
(ii) The Director, Directorate of Information . . Member
and Publicity.
(iii) The Assistant Director (Press),
. . Convenor
Directorate of Information and Publicity.
4.2. The Assistant Director (Press) who is the Convenor of the
Committee shall be assisted by the Public Relations Assistant.
4.3. The committee shall either take decision for the grant of
identity cards to the media representatives of Union territory of
Puducherry or it may reject the issue of such card for reason to be
recorded in writing under these rules.
4.4. The committee shall meet once in every six months to review
the issue of identity cards to the media representatives of the Union
Territory.
5. Eligibility conditions.— Any media representative fulfilling
the following conditions shall be eligible for the issue of identity card
in the Union territory of Puducherry:-
(i) New I.D. card shall be issued to the dailies/periodicals
only after completion of at least one year;
(ii) Dailies/Periodicals having minimum circulation of 2,000
copies;
(iii) Media representative shall be residing at the regional
headquarters of the Government of Union territory of Puducherry
for which identity card is required;
(iv) Media representative should have minimum of one year
experience in the relevant field;
(v) Media representative should be a full-time journalist in
print media/electronic media;
6. Number of I.D. cards to be granted.— (a) In determining the
number of the I.D. cards to the media representatives, the character
and volume of coverage of the daily/periodical or news agency or
satellite channel as the case will be taken into account and
the I.D. cards shall be issued as per the criteria noted below. Separate
I.D. card may be given for each of the regional headquarters;
133
PART–II]
LA GAZETTE DE L'ETAT
(b) For dailies published and being circulated in Puducherry
(Headquarter of Union territory of Puducherry) - two Reporters and
two Photographers.
(c) For dailies published from neighbouring States and being
circulated in Puducherry may be issued to one Reporter and
one Photographer.
(d) For periodicals viz. weeklies, fortnightlies, monthlies, etc.,-
one Reporter and one Photographer may be given.
(e) For satellite channel registered with the Ministry of
Information and Broadcasting, Government of India, New Delhi - one
Reporter and one Cameraman.
(f) For News agencies - one Reporter and one Photographer;
(g) For dailies/periodicals/satellite channels/news agencies and
being circulated/telecast in the outlying regions viz. Karaikal, Mahe
and Yanam - one Reporter and one Photographer.
(h) Press I.D. cards may be issued to one Reporter and one
Cameraman for each Cable TV, subject to production of the following
records:-
(i) Permission obtained for operating the Cable TV from
the concerned authorities;
(ii) Trade licence from the concerned Municipality/Commune
Panchayat;
(iii) A copy of permission for broadcasting of news issued
by the Ministry of Information and Broadcasting, Government
of India;
(iv) Appointment order of the media person;
(v) Experience certificate;
(vi) Pay certificate/Pay slip from the employer; and
(vii) Two stamp size colour photos.
7. Making of application.— (i) Any Editor or Head of the media
organisation (print media/electronic media/news agency) who desires
to have Government I.D. card for his/her press representative may
submit application to the Director of Information and Publicity by
furnishing therein full details of the professional experience of the
media representatives and other details prescribed in the application.
The application shall be in the form that may be prescribed by the
Government from time to time;
134
LA GAZETTE DE L'ETAT
[PART–II
(ii) The Assistant Director (Press) shall process the application
and ensure after such further enquiry as he may deem fit that the
application is complete with all particulars required to enable the
Chairman of the Committee to take decision on the grant of identity
card to the media representatives.
(iii) The application shall, after such examination as is required
under rule 7 (ii), be placed before the committee in a meeting or it
may be circulated to the members of the committee for a decision.
(iv) If the committee decides to issue I.D. card to a media
representative, the same shall be communicated to the Editor or Head
of the organisation (print media/electronic media/news agency) and
also the media representative.
(v) In case of refusal, the same shall also be communicated to
the organisation by the Director of Information and Publicity,
Puducherry.
(vi) The decision of the committee shall be final and binding
on the grant of I.D. cards to the media representatives of the Union
territory of Puducherry.
8. Issue of I.D. card.— (i) If the committee decides to issue
identity card to any media representative, the Director of Information
and Publicity shall issue photo affixed identity card to the media
representative;
(ii) The I.D. card shall be signed by the Director of Information
and Publicity with an assigned code number;
(iii) The Directorate of Information and Publicity shall maintain
a register showing the details of the I.D. cards under this rules with
code number expiry date, photograph, signature of the media
representative, etc.
(iv) Identity card given under these rules is only personal and
is not transferable. It does not confer on any media representatives
any official status. Media representative who got the I.D. card shall
not designate himself/herself in the letter heads or visiting cards as
“Government Approved Media Representative” or “Approved Media
Representative to Government”.
135
PART–II]
LA GAZETTE DE L'ETAT
(v) The identity cards shall normally be used for attending
Government functions and press conference convened by the
Government or any authorised officer of the Government. The identity
card shall not be admissible for attending special functions or
conferences where entry is regulated by special invitation cards or
security passes.
9. Tenability of I.D. card.— (i) I.D. card once given under these
rules shall be valid for one year and is renewable on an application.
The application shall be submitted by the Editor/Head of the
Organisation (print media/electronic media and news agency) in the
form prescribed by the Directorate.
(ii) The procedure prescribed under these rules for grant of
identity card shall apply mutatis and mutandis to the disposal of
application for renewal.
10. Withdrawal of identity card.— (i) The I.D. card issued to a
media representative will be liable to be withdrawn if,—
(a) he/she abuses the information and facilities provided
to him/her for non-journalistic purpose (or) if the Editor/Head
of the media organisation (print media/electronic media and
news agency) who applied for the identity card for the media
representative recommended for withdrawal of the same.
(b) in the course of his/her duties as a media representative,
he/she behaves in an undignified or unprofessional manner or
unethical manner.
(c) he/she ignores or violates the conditions on which
information and facilities are provided by Government, or acts
contrary to any provisions of these rules.
(d) he/she causes wilful publication of news or other
features that is incorrect or false, in so far as the Government
is concerned, but in case, the print media or electronic media
or news agency itself is responsible for the wilful publication
of false, mala fide or incorrect reports or abuse of confidence,
all the I.D. card holders of the concern print media or
electronic media or news agency will be liable to be
.withdrawn.
(e) the I.D. card will be withdrawn when the card holder
is issued the accreditation card.
136
LA GAZETTE DE L'ETAT
[PART–II
(ii) Before taking any action under rule 10 (i), an opportunity
of being heard to the print media/electronic media/news agency
concerned shall be given on the proposal of withdrawal.
11. Notice of termination of identity card.— (i) When an I.D.
card holder of media representative ceases to represent a daily or
periodical or satellite channel or news agency, the fact should be
brought to the notice of the Director of Information and Publicity, in
writing by the Editor or the Head of the media organisation concerned
within fifteen days from the date on which the media representative
so ceased to represent. Failing this, the matter may be reported to
the committee by the Director on his own motion for necessary action.
(ii) An I.D. card holder of the media representative who is
continuously absent for three months from the regional headquarters
shall be liable for termination of his/her I.D. card, unless he/she has
intimated in writing through his/her Editor or Head of the media
organisation in advance of such absence. This period may be
extended for a further period of three months, a written request from
the Editor or the Head of the organisation concerned.
(iii) In case of de-blocking by the Registrar of Newspapers for
India, New Delhi, the I.D. cards already issued by this Directorate
will be invalidated and to be surrendered;
(iv) The press section of the Directorate of Information and
Publicity shall maintain a list of I.D. card holders of the media
representatives and the list will be reviewed periodically by the
committee, ordinarily, once in every year.
12. Temporary identity card in emergent cases.— (i) The
Director of Information and Publicity may issue temporary identity
card for three months or for a specific function to a media
representative. However, he should bring the fact to the notice of
the committee by circulation or in its meeting held immediately after
the issue of the temporary I.D. card.
(ii) The Director is also empowered to issue such temporary
identity card to the media representatives from outside the Union
Territory on the recommendation of Government of India or the
Government of Puducherry, though such a correspondent is not
stationed in the headquarters;
137
PART–II]
LA GAZETTE DE L'ETAT
(iii) Any Editor or the Head of the organisation of the print media
or electronic media or news agency, who is aggrieved of the decision
of the committee under these rules, may appeal for review of the
committee’s decision. Such appeal shall be made within 30 days from
the date on which the decision in question was communicated to the
print media or electronic media or news agency concerned. The
decision of the committee on such representation for review shall be final.
13. Interpretation.— If any doubt arises about the interpretation
of these rules, the decision of the Government thereon shall be final.
————
Amflºƒˆ ∂´∑
GOVERNMENT OF PUDUCHERRY
ÿƒF] �ÆD s·D√´›mÁ≈
DIRECTORATE OF INFORMATION AND PUBLICITY
1. ∂fl∑ ª ¶ Ô D / t [ ™b ª ¶ Ô D /ÿ ƒ F ]
:
WÆk™›][ ÿ√BÏ (>tµ �ÆD g∫˛È›]_)
Name of the print media/electronic media/
news agencies.
2. ∂KkÈÔ xÔkˆ, ÿ>VÁȺ√E �ÆD :
ÿ>VÁÈÂÔ_ ®ı
Office address, telephone and FAX No.
3. ÔVÈxÁ≈ ÷>µ/ÿ>VÁȬÔV‚E ÿ>V¶∫Ô©√‚¶
:
ÂV^.
Date on which the publication of the
periodical/telecast started.
4. ÔVÈxÁ≈ ÷>µ/ÿ>VÁȬÔV‚E —
:
(Journal/Satellite channels).
(∂)
ÔVÈxÁ≈ ÷>µ ÿkπkÚD ÔVÈD �ÆD
:
ÿ>V¶ÏÕm ÿkπkÚD >[Á\.
(Periodicity and regularity of the journal)
Photo
passport
size
ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶¬ÔV™
ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶¬ÔV™
ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶¬ÔV™
ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶¬ÔV™
ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶¬ÔV™
sıð©√D
sıð©√D
sıð©√D
sıð©√D
sıð©√D
APPLICATION FOR ISSUE OF
MEDIA IDENTITY CARD
138
LA GAZETTE DE L'ETAT
[PART–II
(g)
ÔVÈxÁ≈ ÷>µ ÿkπkÚD ®ıˬÁÔ
:
(zÁ≈Õ> √‚ƒD 2,000 ÂÔ_Ô^)
Circulation and professional standing
of the journal (circulation at a minimum
2,000 copies).
(÷)
ÿ>VÁȬÔV‚El_ ÿƒF] Œπ√´©√VzD
:
ºÂ´∫Ô^.
(Schedule of the telecast of news/
current affairs programmes).
(~)
ÿ ƒ F ] B V · Ï / A Á Ô © √¶ ¬ Ô V ´ Ï /
:
Œπ©√]kV·ˆ[ ÿ√BÏ (>tµ �ÆD
g∫˛È›]_).
Name of the Reporter/Photographer/
Cameraman.
(c)
√>sl[ ÿ√BÏ
:
Designation
(ª)
÷Ú©∏¶ xÔkˆ �ÆD ÿ>VÁȺ√E ®ı
:
Residential address and telephone No./
mobile No.
(®)
(i) ÿƒF]BV·Ï, cÁw¬zD √›]ˆÁÔBV·Ï
:
ƒ‚¶›][ˇµ √ËAˆ√k´V?
Is he/she working journalist as per
the Working Journalists and other
Newspaper employees (Conditions
of Service) and Miscellaneous
Provisions Act, 1955 (Central
Act 45 of 1955).
(ii) xø ºÂ´ ªaB´V?
:
Is he/she a full-time employee?
(∞)
ÿƒF]BV·´VÔ/AÁÔ©√¶¬ÔV´´VÔ/
:
Œπ©√]kV·´VÔ √ËAˆÕ> ∂–√kD
(zÁ≈Õ>√‚ƒD 1 gı|).
Experience as Correspondent or
Reporter/Photographer/Cameraman
(minimum 1 year).
139
PART–II]
LA GAZETTE DE L'ETAT
(n)
∏≈Õ> ÂV^ �ÆD kBm
:
Date of birth and age
(Œ)
sıð©√>V´Ï ÁÔÿBV©√D
:
Signature of the applicant.
ÔVÈxÁ≈ ÷>µ/ÿ>VÁȬÔV‚E
gEˆBÏ/WÆk™› >ÁÈkÏ
ÁÔÿBV©√D ∂KkÈÔ x›]Á´•¶[
Signature of the Editor/Head of the
organisation with date and seal.
————
÷Áð¬Ô ºkıΩB ÂÔ_Ô^
(Copies to be enclosed)
1. √Ë WB\™ gÁð
:
Appointment order
2. ÷´ı| ∂fiƒ_ >ÁÈ ∂·° kıð© AÁÔ©
:
√¶∫Ô^.
Two stamp size colour photos
3. ÷>µ ∂flƒΩ¬zD ∂flƒÔ›]oÚÕm 2,000 ∏´]Ô^
:
∂flƒΩ¬Ô©√|˛≈m ®[Æ ƒV[§>µ ÿ√uÆ
÷Áð¬Ô ºkı|D.
Printer’s certificate about printing of 2,000
copies in their printing press shall be
enclosed.
4. ÷Õ ] B ÿ ƒ F ] › > V ^ Ô ^ √] ° W Æ k ™fl
:
ƒV[§>µ ÂÔ_ ÷Áð¬Ô©√¶ ºkı|D.
Copy of RNI certificate shall be enclosed.
5. ∂flƒÔfl ƒV[§>µ ÂÔ_ ÷Áð¬Ô©√¶
:
ºkı|D.
Printer’s certificate shall be enclosed.
6. ∂flƒÔ sÁÈ©√‚ΩB_ ÂÔ_ ÷Áð¬Ô©√¶ :
ºkı|D.
Printing bill shall be enclosed.
140
LA GAZETTE DE L'ETAT
[PART–II
7. ÷>µÔ^ k´°, su√Á™ º√V[≈ sk´∫Ô^
:
÷Áð¬Ô©√¶ ºkı|D.
Sales and return details shall be enclosed
z§©A (Note) :
1. A]B>VÔ› ÿ>V¶∫Ô√‚¶ ÔVÈxÁ≈ ÷>µ ŒÚ kÚ¶D ÿ>V¶ÏÕm
ÿkπkÕ> ∏[º√, ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶ kw∫Ô©√|D.
2. ÔVÈxÁ≈ ÷>µÔπ[ su√Á™ zÁ≈Õ>√‚ƒD 2,000 gÔ ÷Ú¬Ô
ºkı|D.
3. ÿƒF]BV·Ï / AÁÔ©√¶¬ÔV´Ï / Œπ©√]kV·ˆ[ ∂–√kD
zÁ≈Õ>√‚ƒD 1 kÚ¶D ÷Ú¬Ô ºkı|D.
4. Amflºƒˆ
>ÁÈÂÔ´›]oÚÕm
ÿkπBVzD
ÂVº·|Ô”¬z
2 ÿƒF]BV·ÏÔ^ �ÆD 2 AÁÔ©√¶¬ÔV´ÏÔ”¬z \‚|D ÿƒB]BV·Ï
∂Á¶BV· ∂‚Á¶ kw∫Ô©√|D.
5. ∏≈ \VWÈ∫ÔπoÚÕm ÿkπBVzD ÂVº·|Ô”¬z ŒÚ ÿƒF]BV·Ï
�ÆD ŒÚ AÁÔ©√¶¬ÔV´Ú¬z \‚|D ∂Á¶BV· ∂‚Á¶ kw∫Ô©√|D.
6. √Úk ÷>µÔ”¬z (kV´ ÷>µ, ÷ÚkV´ ÷>µ, \V> ÷>µ
º√V[≈ÁkÔ”¬z), ŒÚ ÿƒF]BV·Ï ŒÚ AÁÔ©√¶¬ÔV´Ú¬z \‚|D
ÿƒB]BV·Ï ∂Á¶BV· ∂‚Á¶ kw∫Ô©√|D.
7. ÿ>VÁȬÔV‚EÔ”¬z
ŒÚ
ÿƒF]BV·Ï
�ÆD
ŒÚ
Œπ©√]kV·Ú¬z \‚|D ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶ kw∫Ô©√|D.
8. ÿƒF]
WÆk™∫Ô”¬z
ŒÚ
ÿƒF]BV·Ï
�ÆD
ŒÚ
AÁÔ©√¶¬ÔV´Ú¬z \‚|D ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶ kw∫Ô©√|D.
9. ÔVÁ´¬ÔV_, \V˛ �ÆD ∞™VD √z]Ôπ_ ÂVº·|, √Úk ÷>µ,
ÿ>VÁȬÔV‚E �ÆD ÿƒF] WÆk™∫Ô”¬z >ÈV ŒÚ ÿƒF]BV·Ï �ÆD
ŒÚ AÁÔ©√¶¬ÔV´Ï ∂_Èm Œπ©√]kV·Ú¬z ∂Á¶BV· ∂‚Á¶
kw∫Ô©√|D.
10. ÿƒF]BV·Ï/AÁÔ©√¶¬ÔV´Ï/Œπ©√]kV·Ï xøºÂ´ ªaB´VÔ
÷Ú¬Ô ºkı|D.
141
PART–II]
LA GAZETTE DE L'ETAT
ÔVÈxÁ≈, ÷>µÔπ[ /ÿ>VÁȬÔV‚E �ÆD ÿƒF]
WÆk™∫Ôπ[ ÿƒF]BV·ÏÔ”¬z, AÁÔ©√¶¬ÔV´ÏÔ”¬z/
Œπ©√]kV·ÏÔ”¬z ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶
Am©∏›>K¬ÔV™ sıð©√D
s|ÂÏ
ÿ√ÆÂÏ
÷B¬zÂÏ,
ÿƒF] �ÆD s·D√´›mÁ≈,
Amflºƒˆá605 001.
nBV!
ÿ√VÚ^ : ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶ ........gD gıΩuz
Am©∏›>_ ÿ>V¶Ï√VÔ.
√VÏÁk : >∫Ô^ ∂KkÈÔ¬ ÔΩ> ®ı ........ÂV^ ................
————
Amflºƒˆ ∂´ƒV_ kw∫Ô©√|D. ÔVÈxÁ≈ ÿ>VÁȬÔV‚E �ÆD ÿƒF]
WÆk™ ÿƒF]BV·Ï/AÁÔ©√¶¬ÔV´Ï/Œπ©√]kV·Ú¬ÔV™ ÿƒF]BV·Ï
∂Á¶BV· ∂‚Á¶..................................... (÷>a[/ÿ>VÁȬÔV‚El[
ÿ√BÏ) ÔVÈxÁ≈l_/ÿ>VÁȬÔV‚El_ ÿƒF] WÆk™›]_ √ËAˆÕm
kÚD ]Ú./]Ú\]/ÿƒ_s ............................................ ÿƒF]BV·Ï/
AÁÔ©√¶¬ÔV´Ï/Œπ©√]kV·Ï ÿ>V¶ÏÕm ÷ÀkKkÈÔ›]_ √ËAˆÕm
kÚ˛≈VÏ. ®™ºk, ∂k´m ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶ÁB
..........................gD
gıΩuz
Am©∏›m
kw∫zD√Ω
ºÔ‚|¬ÿÔV^˛º≈[.
∂k´m xÔkˆ :
∂k´m ÿƒF]BV·Ï ∂Á¶BV· ∂‚Á¶ ®ı :
®∫Ô^ WÆk™›]_ √ËAˆÕmkÚD ]Ú./]Ú\]/ÿƒ_s ..................
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√ËloÚÕm s|s¬Ô©√‚¶VºÈV ºkÆ √ˬz ÿƒ[≈VºÈV cıÁ\
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142
LA GAZETTE DE L'ETAT
[PART–II
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gEˆBÏ/WÆk™› >ÁÈkÏ
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Signature of the Editor/Head of the
organisation with date and seal.
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(Fact Sheet)
1. sıð©√>V´Ï ÿ√BÏ (>tµ �ÆD
:
g∫˛ÈD).
Name of the applicant (Tamil and English)
2. √>s
Designation
3. √ËAˆ•D WÆk™›][ ÿ√BÏ
:
Name of the organisation
4. √ËAˆ•D WÆk™ xÔkˆ
:
(ÿ>VÁȺ√E ®ı/ÂÔo ®ı/t[ ∂fiƒ_
xÔkˆ).
Address of the organisation (Phone/Fax/
e-mail address).
5. ∏≈Õ> º>]/kBm
:
Date of birth and age
AÁÔ©√¶D
(Photo
passport size)
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Signature
143
PART–II]
LA GAZETTE DE L'ETAT
6. W´Õ>´ ÷Ú©∏¶ xÔkˆ
:
Permanent residential address
7. >uº√VÁ>B ÷Ú©∏¶ xÔkˆ
:
Present residential address
8. ÷Ú©∏¶ ÿ>VÁȺ√E �ÆD ÁÔº√E ®ı
:
Residence Phone/Mobile No.
º>] :
sıð©√>V´Ï ÁÔÿBV©√D
Date :
Signature of the applicant.
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∂fiƒ_ >ÁÈ ∂·sÈV™ kıð© AÁÔ©√¶∫Ô^
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Note
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Two stamp size-colour photographs to be enclosed.
∂KkÈÔ √B–¬z \‚|D
(For office use only)
1. ÿƒF]BV·Ï ∂∫ˇÔV´¬ zøs[ :
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online publication at “http://styandptg.puducherry.gov.in”
Government Central Press
Directorate of Stationery and Printing
Puducherry-9.
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