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Express Media Services - News Collection, Management and Distribution System
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Subscriber Registration/अभिदाता पंजीकरण
Authorised Person/Owner/नाम
Designation/पद
Email/ईमेल
Mobile Number/मोबाइल नं
Telephone Number/टेलीफोन नं
FAX/फैक्स
Comapny Name/कंपनी का नाम
Whatsapp Number/व्हाट्सएप्प नं
Name of Website/वेबसाइट का नाम
Address Line 1/पता १
Address Line 2/पता २
State/राज्य
--Select State--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District/जिला
--District/जिला--
Block/ब्लॉक
--Block/ब्लॉक--
Not Applicable (N/A)
PIN/पिन
Publishing on website
Newspaper/Magazine
Official Use
TV/Radio
Government Corporation
Others
Daily
Weekly
Bi-weekly
PAN Number/पैन क्रमांक
Bank Name/बैंक का नाम
Account Number/अकाउंट क्रमांक
IFSC Code/आई एफ एस सी कोड
Note