Membership Form Details

1. Radio Staion Information

Staion Details :
Coverage Area :
Official Postal Address :
Station Manager :
Founder Organization Name :
Working Committe President :
Working Committe General Secretary :

2. Production Desk Information

News Chief :
Programme Chief :
Technician Chief :
Marketing Chief :
CIN Correspondence :

3. CIN Program airing details

   
   
   
   
   
   
   
   
   
   

4. CIN Affiliation Date

This Form Filled by :

5. CIN Authentication

This Form Filled by :