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Annexure II

Format of Letter of Authority for submission of the Self-declaration by


Publisher/owner

I,……………….Son / Daughter / Wife of ……………….., resident of


…………………and publisher / owner of …………………(full address of the
publication ) with RNI Registration No. …………do hereby
authorize…………………S/o ………. , r/o ……………..whose signature is
appended below, to present the declaration furnish by the undersigned to RNI /
designated PIB officer for its authentication.

(Signature of Authorized representative)


Aadhar No……………

Place……….. Signature of Publisher/owner


Date………… Name in Block letters:
Office Seal:

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