Publishers Declaration

I ________________________ (Name in Block letters) publisher of ____________________do

hereby declare that the particulars shown in the statement set forth above are true and
correct to the best of my information, knowledge and belief.
Publishers Name in Block Letters:-_____________________
Registration Number of Newspaper:- _____________________
Seal & Signature:-

CA Certificate
We

have

examined

the

books

and

accounts

of

________________________

(Name

of

paper),

_________________
(Registration
number)
and
_______________________
(Place
of
publication) for the period ending 01/04/2015 to 31/03/2016 and have obtained all the
information and explanations required by us. In our opinion the statement set forth
above/enclosed reflects true and correct analysis of the sales of the publisher for the
period ending 31/03/2016 to the best of our information and belief and according to the
explanations given to us and as shown by the books of accounts. Average circulation is
certified as ______________ copies per publishing day for the period 2015-16.

Name in Block Letters:- ________________

Seal & Signature

:-

Registration No:- _____________________

Address:Mobile No:-

_________________________
________________________

Ph No(Office):-

______________________

Note: In respect of newspaper where the average number of copies printed per publishing day
does not exceed 2000, certificate by Chartered Accountant/Qualified Auditor in form
prescribed above is not necessary. Such certificate is also not necessary in the case
of Educational Institutions, Charitable Societies and Associations which publish
newspapers generally for the use of their members and not to sale.