In-charge of ISBN Allotment Raja Rammohan Roy National Agency for ISBN Government of India Ministry of Human Resource

Development A2/W4, Curzon Road Barracks Kasturba Gandhi Marg New Delhi: 110001 Phone: +91-11-23384687 Dear Sir/Madam, Subject: Issuance of ISBN for my self-published book <<Insert title of the book here>> I have self published by book titled <<Insert title of the book here>> and need an ISBN to be assigned to the same. The details are given below: Title of Book: Author: Publisher: Year of Publication: Place of Publication: Pages: Price: Subject: Language: Paperback or Hardback: Address for Communication: <<Write address for communication here>> The copy of Cover Page and my identity proof are enclosed with the application. Request you to kindly issues me an ISBN for this book. Thanking you Sincerely, <<Write your name and sign after taking a printout>> Encl: 1) Copy of Cover Page 2) Copy of Id Proof 3) Self Addressed envelope for return communication

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