Applicant Name*: Father's/Mother's/Husband's Name*: Date of Birth*: Mobile No.*: Your email* Organization*: Complete Postal Address*: Office/ Work Place Address: Qualification*: Professional Degree/Diploma etc. (if Any): Any Other Qualification/Specialization: Experience in the field:* 0-1 Year1-2 Years2-3 years3-4 Years4-5 YearsMore than 5 YearsMore than 10 Years Organization*: If a freelancer/Self employed etc.): Designation*: Department*: Monthly Income*: Period of Association With*: Present Organization*: Name of Organization Served Previously*: Upload photo* I agree with A working journalist, freelancer or part time journalist, book writer, columnist will be eligible to be an annual member of the club. Annual subscription shall be Rs. 1100 two year payable in advance. All new applications for membership shall be put up before managing committing for consideration. However chair person may immediately approve such application(s) provided such application(s) should be approved by Managing Committee later on in its nest meeting. The Managing Committee Shall take appropriate disciplinary action against any member's for bringing the doubt disrepute or for any act, including violence, misbehave which endangers the harmony of the club such discipline action may as the case warrants, consist of suspension for a specific period or expulsion for a specific period debarring membership permanently