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ANNEXURE -XII PROFORMA FOR CERTIFICATE TO BE ISSUED BY COST/CHARTERED ACCOUNTANT FOR CIRCULATION OF NEWSPAPERS/JOURNALS Period April 200 to March 200 Name of the newspaper in Block Letters RNI REGISTRATION NO. State/Place of publication Language Name of the Publisher No*of Pages 7 No*of Columns per page 8 Column width in cms. i Quality of paper used please tick Ordinary/Standard Newsprint/Glazed ii Details of Newsprint and ink consumed during the period 4 Periodicity News print Paper Ink Grade Quantity MT Rate/unit Rs. Amount Quantity Amount Ltr* Opening Stock Purchases-Imported -Indigenous Total Add - Loans obtained/received back Less - Closing stock - Loans given/returned Net Consumption The consumption of materials shown in this table should reconcile for the quantity/No*of copies sold/distributed free of cost as shown in item No* 14. Details of Printing Press Offset/Letter Press Make of Printing Press Average No* of copies sold per publishing day at commission up to 40 Average print order per publishing day Certified that above statements/facts are true correct. Signature and Seal of the Printer and Publisher I certify that the above details have been checked and found to be correct. State/Place of publication Language Name of the Publisher No*of Pages 7 No*of Columns per page 8 Column width in cms. i Quality of paper used please tick Ordinary/Standard Newsprint/Glazed ii Details of Newsprint and ink consumed during the period 4 Periodicity News print Paper Ink Grade Quantity MT Rate/unit Rs. i Quality of paper used please tick Ordinary/Standard Newsprint/Glazed ii Details of Newsprint and ink consumed during the period 4 Periodicity News print Paper Ink Grade Quantity MT Rate/unit Rs. Amount Quantity Amount Ltr* Opening Stock Purchases-Imported -Indigenous Total Add - Loans obtained/received back Less - Closing stock - Loans given/returned Net Consumption The consumption of materials shown in this table should reconcile for the quantity/No*of copies sold/distributed free of cost as shown in item No* 14. Amount Quantity Amount Ltr* Opening Stock Purchases-Imported -Indigenous Total Add - Loans obtained/received back Less - Closing stock - Loans given/returned Net Consumption The consumption of materials shown in this table should reconcile for the quantity/No*of copies sold/distributed free of cost as shown in item No* 14. Details of Printing Press Offset/Letter Press Make of Printing Press Average No* of copies sold per publishing day at commission up to 40 Average print order per publishing day Certified that above statements/facts are true correct. Details of Printing Press Offset/Letter Press Make of Printing Press Average No* of copies sold per publishing day at commission up to 40 Average print order per publishing day Certified that above statements/facts are true correct. Signature and Seal of the Printer and Publisher I certify that the above details have been checked and found to be correct. State/Place of publication Language Name of the Publisher No*of Pages 7 No*of Columns per page 8 Column width in cms. i Quality of paper used please tick Ordinary/Standard Newsprint/Glazed ii Details of Newsprint and ink consumed during the period 4 Periodicity News print Paper Ink Grade Quantity MT Rate/unit Rs. Amount Quantity Amount Ltr* Opening Stock Purchases-Imported -Indigenous Total Add - Loans obtained/received back Less - Closing stock - Loans given/returned Net Consumption The consumption of materials shown in this table should reconcile for the quantity/No*of copies sold/distributed free of cost as shown in item No* 14.

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How to fill out and sign Rni declaration form 4 online?

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