Enclosed is Cheque/ DD No. Date Bank Drawn *Please write your name and address on the reverse of the Cheque/DD Favouring "DAILY INDIAN MEDIA PVT. LTD." for Rs. Name Address City State Pincode Phone Email Please fil this order form and mail it with your remittance to DAILY INDIAN MEDIA PVT. LTD., B-11, Quatab Industrial Area, New Delhi-110016