04/03/2017

APPLICATION FOR TITLE VERIFICATION

(FOR SUBMISSION TO FORWARDING AUTHORITY CONCERNED IN THE CITY/DISTRICT i.e
DM/SDM/CMM/JMM/DCP etc.)

Code No. to be used only for reprint:

2017076351
(Please Check message in your email for reprint)

Note:- (Kindly affix seal and signature of forwarding authority on each page separately.),
(Overwriting/Cutting/Editing and use of white fluid is not permissible in the Application. )

NON-
Ownership Category
INDIVIDUAL

Please paste a Passport size

Ownership PRIVATE LIMITED COMPANY
photo grapgh
Nationality(For Individual Owner)
Registration No. of Non-Individual
U74140DL2016PTC289760
Owners(Company/Trust/Society/Firm etc.)
Whether Owner has any Foreign Direct
NO
Investment in the business?
Name of the Owner of the proposed Title in
NINE NETWORK PRIVATE LIMITED
English
Name of the Owner of the proposed Title in
devnagri script(Hindi)
D-12, GF , GALI NO-4,RAGHU NAGAR,
SYNDICATE ENCLAVE, NEAR NEW SUBJI
Complete Address of the Owner
MANDI DELHI SOUTH WEST DELHI DL
110045 IN , District-DELHI ,State-DELHI
Name of Applicant in English(Individual or
NITIN NARESH
Person authorized by Non-Individual Entity)
Name of Applicant in Hindi(Individual or person
authorized by Non-Individual Entity)devnagri
script (Hindi)
D-12, GF , GALI NO-4,RAGHU NAGAR,
SYNDICATE ENCLAVE, NEAR NEW SUBJI
Complete Address of the Applicant
MANDI DELHI SOUTH WEST DELHI DL
110045 IN , District-DELHI ,State-DELHI

1/3
04/03/2017

Date of Birth(Applicant) 13/4/1986

Landline Contact No.(with STD code) 01125398348 Fax
Mobile Number 8800302311
Email-id hello@ninenetwork.net
Photo ID proof of Applicant (Self attested photo
PAN CARD NO-AFQPN3092N
copy to be enclosed with the Application)
D-12, GF , GALI NO-4,RAGHU NAGAR,
SYNDICATE ENCLAVE, NEAR NEW SUBJI
Complete Address Of Place Of Publication MANDI DELHI SOUTH WEST DELHI DL
110045 IN, District-DELHI ,State-DELHI ,Pin
Code-110045
State of Proposed Publication DEL
City/District of proposed Publication
Language/s in which proposed Publication is to
ENGLISH
be printed in each & every issue
Periodicity of proposed Publication BI-MONTHLY
Name of proposed Titles in English(Option in order of Prefrence). Write in manner it would be
written in Hindi/English and meaning in english if proposed Title is in english language othe than
English/Hindi

INVENTIVA MEANS TO
1.
INVENT BUSINESS &
INVENTIVA
ENTREPRENEURSHIP

Meaning of Nature & Content to be published in proposed publication

INVENTIVA IS THE FIRST OF ITS KIND OF MAGAZINE
WHERE WE COVER ENTREPRENEUR, SME, SMB,
Content of Publication
STARTUPS AND COVER ALL ASPECTS OF THEIR
BUSINESS & ENTREPRENEUR JOURNEY
Whether the proposed Titles are same/similar to
NO
Titles of Foreign Publication
Does the Owner have any Titles previously
verified by RNI? if any, Please specify as NO
follows(if more,enclosed list)
List Of Name of Registered Titles Registered with same Owner.

List of Titles Verified in the Name of same Owner but not Registered.

2/3
04/03/2017

Signature of Applicant ............................

Date:- ..................

FOR OFFICIAL USE OF AUTHORISED AUTHENTICATING/FORWARDING AUTHORITY

AS PER PUBLICATION DISTRICT

Note:- (Kindly affix seal and signature of forwarding authority on each page separately.),
(Overwriting/Cutting/Editing and use of white fluid is not permissible in the Application. )

Office ref.no. Seal/Stamp Name & designation,phone Signature of

of no & email of forwarding forwarding
Authority authority authority

Click here to print

3/3