Schedule  (Related to Sub-rule (2) of Rule 5)
News paper Audit Distribution
Certificate
Mr./Ms./Mrs. …………………….
This Audit Distribution Certificate of the Newspaper of ? fiscal year
………………. is, hereby, provided to you.
(a) Name and Address of the Publisher:
(b) Name and Type of the Newspaper:
(c) Name and Address of the Auditor:
(d) Total volume published in the Audit Period:
(e) Details of distribution as per Audit Report:
(f) Details of Newspaper Distribution:
1. Copies of Distribution from Distribution Institution:
(a) (b) (c)
Country Abroad Total
2. Copies of Distribution directly from Publisher to the Subscribers:
3. Copies of Distribution from retail seller:

Total Printing Copies Total Sale Copies
Total Distribution Copies
Country Abroad Total

4. Copies of Distribution to Government Offices, Association, Institution etc.
5. Copies of free Distribution to various person and Institutions:
(a) (b) (c)
6. Copies of Distribution to Advertisement Agency and Advertisers:
7. Copies of free Distribution to Newspaper Managers:
8. Total Copies of Distribution:
9. Copies of Distribution to Libraries and Reading Rooms etc.:
Name of the Official of providing Certificate:
Signature:
Designation:
Office:
Date:
Seal of the Office
Note bene : Copies sent by Post, sale in reduce price than the prescribed cost
etc. shall be mentioned in publisher details
Country Abroad
Total