National Union of Journalists (India)

Journalist Registration Form

Full Name *

Required. Letters/spaces allowed. Max length 255.

Email *

Required. Must be unique and a valid email.

Phone Number *

Required. Exactly 10 digits

Password *

Required. Minimum 6 characters.

Referral Code *

Required. Must exist in our system (shared by your referrer).

State *

Required.

District *

Required. Choose one.

Media Name *

Required. Max 255 characters.

Media Address *

Required. Max 255 characters.

ID Card/Appointment Letter/Screenshot of Social Media page *

Required. PDF/JPG/PNG. Max size 300 KB.

Position in Media *

Required. Max 255 characters.

Media Office Phone Number *

Required. Up to 30 characters (digits, +, spaces allowed).

Media Office Email ID *

Required. Valid email address.

Aadhar Number *

Required. Exactly 12 digits.

Upload Photo *

Required. JPG/PNG. Max size 300 KB.

Upload Aadhar Card Images *

Please upload both front and back images of your Aadhar card.

Front Side *

Required. JPG/PNG. Max size 300 KB.

Back Side *

Required. JPG/PNG. Max size 300 KB.

Would you like to publish ads in your media through our portal and get paid? *

Yes No

Required. Select one option.