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PRIME MINISTER's HEALTH INSURANCE SCHEME FOR JOURNALISTS AND MEDIA PERSONS

ANNOUNCEMENTS

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GOVERNMENT OF PAKISTAN PRESS INFORMATION DEPARTMENT

GOVERNMENT OF PAKISTAN

PRESS INFORMATION DEPARTMENT

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MEDIA CARD

NAME OF PUBLICATION

TOWN/CITY

ADDRESS

TELEPHONE/FAX NO

NAME OF EDITOR

Step 2

MEDIA QUESTIONNAIRE

Name of Publication

Established (Give exact date)

ADDRESS

TELEPHONE

FAX NO

NAME OF EDITOR

Name of Printer

Language

Frequency

Please attach a copy of declaration certificate

Off Days

Please specify whether morning, evening or state the date of issue

Date on which the first issue was brought out

Any special edition

Price per copy

Annual subscription

Editorial Objectives and policy

Appeal to any special community, class or section

News services subscribed to

Special regular features (i.e Women’s or Children page etc) & when appearing

Total net paid circulation as cerified by the audit bureay of circulation (plwase attach a copy of abc certificate).

Step 3

MEDIA QUESTIONNAIRE

Size of printed page

Number of column

Average number of pages

Kind of paper used

Type of printing press

Is printing done in colour

Advertisement rates. Commercial rates

Please attach a rate card, if any

I hereby declare that all the particulars given above are correct and that advertisement contract, from or on behalf of Government of Pakistan will be accepted on this understanding.

SIGNATURES

OFFICIAL POSITION

DATE

APPLICATION FOR ACCREDITION ON BEHALF OF PAKISTANI MEDIA

APPLICATION FOR ACCREDITATION ON BEHALF OF PAKISTANI MEDIA

To, The Principal Information Officer,

   Press Information Department,

   Government of Pakistan,

   Islamabad

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Step1

Name of Newspaper/ News Agency/ TV Channel

Language(S) in which Published

Countries or centers serve

Number of Newspapers served

Place of Publication

Applicant Name (Block letters)

Date of Birth

Father’s Name

Passport/CNIC No

Place of Birth

Nationality & Religion

Designation Applying for

Educational Qualifications

Previous experience (vide Class 4 of the Rules

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PAPERS, NEWS AGENCIES OR TV CHANNELS SERVED Post-held PERIOD OF SERVICE (DATE BE SPECIFIED)

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Residential Address:-

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Residence Telephone

Mobile

Official Address

Telephone

Fax No

Certified that Mr./Ms/ is a full time employee of our News Agency/Newspaper/TV Channel.

Note:

Following supporting documents for processing of my case in question are attached.

Employer introductory/recommendatory letter, in original.

Six Photocopies prescribed form, duly filled in.

Six copies of my recent photographs (Size 1x1).

Six photocopies of my NIC.

Signature of the Editor/Managing Editor