Affiliated Membership Application Form

Name of the Publishing House*

Address*

Date of Establishment of the Publishing House*

Fax No.*

GST No.*

E-mail*

Website

Office Number*

Mobile Number*

Name(s) of Proprietor/Directors/Partner of the Publishing House

Categories of Books Published*

General/Text-books – School

College

Special Category

The Number of Books you Have on Active List*

Name of Bankers*

Publishing in Language(s)*

Approximate Number of Books Published in a Year*

Membership of any Publishers or Booksellers Association with Address*

Particulars of the draft of Rs.2,360/- payable only at New Delhi*
(Inclusive of GST @ 18%. If any increase in applicable Taxes will be paid accordingly)