Membership Form
Mirrorview Journal
International Journal of Fresh Poetry
and Fiction
1. Name :
2. Gender :
3. Nationality :
4. Mobile Number :
5. E-Mail ID :
Correspondence & Permanent Address:
● Country :
● City :
● State :
● Pin :
● Address 1:
● Address 2:
13. Are you
in Service?(teacher/others) (Yes/No):
15. Name of
Office/college/university:
16. Are you
student/Research Scholar (yes/No):
17. Name of
College/University:
18. Name of
Course:
Qualification
Details:
18. Last
Exam Passed:
19.
University:
22.
Subjects:
Signature / name as per 10th marks
card:
Send the
filled up form as attachment to editormirrorviewjournal@gmail.com
No comments:
Post a Comment
Note: only a member of this blog may post a comment.