Book Deposit form for Publishers in West Bengal

The Registrar of Publications
West Bengal
Mezzanine floor , Block -G
Writers Building
Kolkata – 700001

Subject: Supply of Publications for registration under Section 9 of  the Press & Registration Act, 1867
1. Title of the Book :
2. Language :
3. Author/ Compiler/Translator/ Editor :
4. Subject :
5. Place of Publication :
6. Date of Issue :
7. Name of Press & address :

  1. Name & Address of Publisher :
  2. Number of Pages :

  3. Size of the Book :
  4. Edition :
  5. No. of Copies Printed :
  6. Price per Copy :
  7. Name & Address of Proprietor of Copyright :
  8. ISBN No :

I do hereby declare that the book has been printed by me and delivered from the press on

Date: —————————————

Printer
or
on behalf of the Printer

Enclosure: Three Copies ——————————————