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 :
- Name & Address of Publisher :
-
Number of Pages :
- Size of the Book :
- Edition :
- No. of Copies Printed :
- Price per Copy :
- Name & Address of Proprietor of Copyright :
- 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 ——————————————
