REPORTER JOINING FORM

First Name

Last Name

Father / Spouse Name

Date of Birth

Sex

MaleFemaleTransgender

Nationality

Marital Status

MarriedNot-Married

Educational Qualification

Non-GraduateDiplomaGraduatePost-Graduate

Permanent Address

Present Address

Email

Mobile No

Whatsapp

Language Known

EnglishHindiTamilMalayalamTeluguKannadaOther

Nature of Business

Occupation

—Please choose an option—StudentProfessionalSelf EmployedSalariedGov. ServiceRetiredNot EmployedHome MakerFarmerOther

Designation

State*

Union Territories*

District *

Area Ward No/Village

Area Police Station

Name of the Proposer / Introducer

Passport Size photo

Signature for ID Card

ID Proof

Address Proof

Media Type

Citizen Reporter

Name of the News Portal

Chief Editor

Mobile No

Email