FORM NO.-1

(SEE RULE 3(1))

(TO BE SUBMITTED IN DUPLICATE)

Form of application for registration/renewal of registration as a cable operator.

To

The District Magistrate & Collector,

Kailashahar.

Application for registration/renewal of registration as a cable operator.

 

  1. (a) Name of applicant ( individual/firm/company/association of persons/body of individuals)

    2. (b) Age

  2. (a) Address (Office).

    3. (b) telephone Number (if any).

  3. (a) Nationality

    4. (b) By birth domicile.

  4. (a) Registration fee enclosed

    5. (b) Postal order No…………………dated……………on………………post office.

  5. Area in which cable television network is

    6. working/ proposed to be setup.

    5A. Date from which the cable television

    network is working/proposed to be set up

  6. Number of Channels being provide/proposed to be provided( with names)
  7. (a) Whether using TVRO                                             Yes/No
  1. If yes number and size
  2. Location.
  1. Names of Doordarshan satellite channels included in cable service.
  2. Copy of earlier registration certificate

(To be filled in only for renewal of registration).

10. Declaration form No. 2 enclosed                               Yes/No

I/We…………………………………….. the ……………………………….applicant(s) ( individual /firm/ company/association of persons/ body of individuals) do hereby declare that the above facts are corrects in all respects.

 

                                                                     Signature of Applicant

                                        ( individual/firm/company/association of persons/ body of Individuals)

 

 

Place :

Date :

Name:

Address: