Registration Form

Full Name*
Email
Mobile*
Blood Group
Unit (District)*
— Select Unit —Bhadradri KothagudemHanamkondaJagtialJangaonJayashankar BhupalpallyJogulamba GadwalKamareddyKarimnagarKomaram Bheem AsifabadMahabubabadMahabubnagarMancherialMedakMedchal–MalkajgiriMuluguNagarkurnoolNalgondaNarayanpetNirmalNizamabadRajanna SircillaRanga ReddySangareddySiddipetAdilabadHyderabadKhammamPeddapalliSuryapetYadadri BhuvanagiriVikarabadWanaparthyWarangal Profile Photo (jpg/png/webp, < 3MB)*
Father's Name
Date of Birth
Media Organization
Address
Area
Pincode
Press ID Number
Experience (years)
Area of Coverage
Reference Person (if any)
ID Proof (image/pdf)
I hereby declare that the above information is true to the best of my knowledge.