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Subscriber Form English

This document is a request form for subscribing to or changing the address for the monthly newsletter and popular science magazine DREAM 2047 published by Vigyan Prasar. It requests basic contact information from the subscriber such as name, address, occupation, preferred language, and a rating of regular magazine columns. It also provides options to receive an electronic version of the magazine and asks for suggestions to improve DREAM 2047. Completing and sending the form to Vigyan Prasar will allow the requester to begin or change their subscription to the science magazine.

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basab
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© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
131 views

Subscriber Form English

This document is a request form for subscribing to or changing the address for the monthly newsletter and popular science magazine DREAM 2047 published by Vigyan Prasar. It requests basic contact information from the subscriber such as name, address, occupation, preferred language, and a rating of regular magazine columns. It also provides options to receive an electronic version of the magazine and asks for suggestions to improve DREAM 2047. Completing and sending the form to Vigyan Prasar will allow the requester to begin or change their subscription to the science magazine.

Uploaded by

basab
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Request for Subscription/Change of address

DREAM 2047 (Monthly newsletter-cum-popular science magazine of Vigyan Prasar)


Please complete and send this to:

Vigyan Prasar
A-50, Institutional Area
NOIDA 201309
Uttar Pradesh
Fax: 0120-2404437
Email: [email protected]

Log on to www.vigyanprasar.gov.in and register free for Digital


,
Library and Discussion Forum.
All our publications are available in Digital library.
You may ask questions and answer fellow visitors queries related to
science & technology by participating in Discussion Forum.

Please fill in block letters


1- Name Mr./Ms./Dr./Er./ _____________________________________________________
2- Highest Qualification ______________________________________________________
3- Please mark the option that best describes your occupation:

4-

Journalist
Researcher
Engineer
Student
Address for receiving the magazine:

Teacher
Doctor
Science Communicator
Any Other (please specify)

______________________________________________________________
______________________________________________________________
State __________________________________________________________
Pin

__________________________________________________________

Phone No. _____________________________________________________


E-mail ________________________________________________________

5-

No. of persons who may read your copy of DREAM 2047 ___________________________

6. At present DREAM 2047 is bilingual (Hindi and English). In case we decide to publish separate Hindi and English
versions, which one would you prefer to subscribe?

Hindi

English

Bilingual
7. For existing subscribers: Rating of regular columns on a scale of 1 (poor) to 10 (excellent)
Popular articles on science and technology

Health

Your opinion

Editorial

Biographies of scientists

Interview of personalities

Recent development in Science & Technology

Any Other (please specify)

8. I would like to receive electronic version also/only (Strike out one option)
9. Subscription No. _______________________
(Only for change of address request)
10. Approximate No. of years since you have been receiving DREAM 2047 ____________.
11- Any suggestions to improve DREAM 2047:
Date:

Signature.

Place:

Designation.
(if request is on behalf of an institution)

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