Membership Application Form Full Name *Date of Birth *Residential address *Phone Number *LandlineEmail Address *Social media identities: *Employer’s NameNo. of years in existenceName of Media/ PeriodicityWebsite details in case of online/digital mediaPostal address & phone number *Print/Electronic/Digital identities *Language(s)Please tick below, as appropriate * *DailyPeriodicalNews TVRadioWebsiteAppOwnership *GovernmentRegistered CompanyCharitable trustOtherApproximate audience size / circulation / readership / unique visitors in a monthApplicant’s designation:Whether employed full-time or part-timeNumber of years in present positionPrevious two positions, organizations and relevant periodsScope of responsibility in present jobNumber of people reporting to applicantApplicant’s immediate superior (name and designation)Total number of years in journalismHave you won any professional award(s) or recognition?Memberships of other professional bodies *Whether holding office in any such body, if so what, and for what period *Tick below, as appropriate * *My work includes business functionsMy work does not include business functionsI own part of the organization where I workI do not own any part of the organization where I workKindly give references of two existing EGI Members:1. NameContact number1. NameContact numberDECLARATION and UNDERTAKING *I declare that I am actively involved in managing editorial and news operations of the publications/website channel that I am part of. *I agree to accept the decision of the Editors Guild of India with respect to Membership application. *I understand that membership of the Editors Guild of India is open to senior editors who hold or have held responsible positions in recognized media organizations in India, and are in good standing in the profession. I uphold and will continue to uphold the professional and ethical standards of good journalism, and abide by the Guild’s editorial Code of Conduct. If accepted as a member of the Guild, I agree to pay the membership fees, as stipulated from time to time. Further, I agree to abide by the by-laws of the Guild, which I have read. I acknowledge and accept that the Guild’s Executive Committee has the absolute right, in its own judgment (aided by the advice of the Credentials Committee), to accept, hold in abeyance or reject my application for membership of the Guild *Submit SPECIMEN COPY OF PRESS CARD