INTER SERVICES PUBLIC RELATIONS DIRECTORATE
FOREIGN MEDIA REQUEST FORM


1.
Full Name (Print):
2.
Address:
3.
Contact No, Pakistan and Abroad:
4.
E-mail Address:
5.
Visitor / Journalist's Appointment / Designation:
6.
Name(s) of Media organization(s) represented:
7.
In possession of accreditation number / card from External Publicity Wing of Pakistan Ministry of Information and Broadcasting, if yes please provide details:
8.
    
a.
Name of the Sponsor's:
b.
Name of the Sponsor's Media Organization:
c.
Status of Sponsor’s in Pakistan (Individual / Embassy / Media Organization):
d.
Sponsor’s Contact No:
9.
Visited Pakistan Previously? If yes for what purpose:
10.
Brief pen picture / general remarks:
11.
Affirmation: