(See rule 3 (1))
(To be submitted in duplicate)
Form of application for *registration/renewal of registration/issue of duplicate certificate of registration as a cable operator
To
The Head Postmaster
Head Post Office
………………………………………
Application for *registration/renewal of registration/issue of duplicate certificate of registration as a cable operator
1. (a) Name of Applicant (individual/firm/ company/association of persons/ body of individuals)*
(b) *Age/Date of establishment/Date of incorporation.
2. (a) Address (office)
(b) Telephone Number (if any)
3. (a) Nationality (for individual applicants/ body of individuals)
(b) By birth/domicile.
4. (a) Amount of fee paid for *registration/ renewal/ issue of duplicate certificate Rs……….
(b) Name of Head Post Office……………..
(Attach copy of challan vide which the fees have been deposited)
5. Area in which cable television network is working/ proposed to be set up…….
6. Date from which the cable television network is operating/proposed to be set up…….
7. Number of channels being provided/ proposed to be provided (with names) ………….
8. (a) Whether using Television Receive Only (TVRO) Yes/No
(b) If yes, number and size of TVRO……..
(c) Location………
9. Names of Doordarshan satellite channels included in cable service……….
10. Copy of earlier registration certificate enclosed. (To be filled in only for renewal of registration). Yes/No
11. (a) State reasons for issue of duplicate certificate of registration…..
(Attach mutilated or defaced original certificate of registration/copy of report made to the police in case of theft or loss of the original certificate)
(b) Period of validity of the original Registration Certificate for which the duplicate Registration Certificate is being sought……….
(To be filled in only for issue of duplicate Registration Certificate)
12. Declaration in Form 2 enclosed. Yes/No
(To be filled in for *registration/renewal of registration only)
I/We ………………………………… the applicant(s) *(Individual/firm/ company/ association of persons/body of individuals) do hereby declare that the above facts are correct in all respects.
…..……………………………
Signature of Applicant
*(Individual/firm/company/association of persons/body of individuals )
Place: …………………………. Name ………………………………………
Date: …………………………. Address ……………………………………
* Score out the word or words which are not applicable.
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