'FORM A'

PARTICULARS OF FOREIGN JOURNALISTS/FILM TEAMS INTENDING TO VISIT PAKISTAN

1.         Name (in block letters):______________________________________________

 2.         Name and address of newspaper/agency represented:_______________________

 ______________________________________________________________________

 3.         Phone no:________________________ Fax no/E-mail:_____________________

 4.         Stationed at:_______________________________________________________

 5.         Passport no:_______________________________________________________

 Date of  Expiry: __________________________________________________________

 Place of issue: ___________________________________________________________

 6.         Purpose of visit: ____________________________________________________

 _______________________________________________________________________

 _______________________________________________________________________

 7.         Profession: ________________________________________________________

 8.         Date of arrival: _____________________________________________________

 9.         Flight no. __________________________________________________________

 10.       Port of entry in Pakistan: ______________________________________________

 11.       Name of the country/city of embarkation: __________________________________

 12.       Duration of stay in Pakistan: ____________________________________________

 13.       Program in Pakistan: __________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 14.       Cities and places to be visited: ___________________________________________

 15.       Dignitaries to interview: ________________________________________________

 ________________________________________________________________________

 16.       Previous visits to Pakistan (with dates and purpose): __________________________

 ________________________________________________________________________

 17.       Name of contact/address in Pakistan, if any, with phone, fax and e-mail

 ________________________________________________________________________

 18.       Any special requirement: _______________________________________________

 ________________________________________________________________________

 19. List of professional equipment being carried by the team: (Pl. attach clean typed list).

 UNDERTAKING BY JOURNALIST/TV TEAM/PHOTOGRAPHER VISITING PAKISTAN

 I have no objection that during my stay in Pakistan, a Conduction Officer from the Ministry of Information is attached.
I also undertake not to photograph/film any key installations.

Signature: ________________________________

Name ___________________________________
  ( in block letters)                   

Name of the Company:______________________