PRESS UNION OF LIBERIA (PUL)

Warner Avenue, 9th Street, Sinkor. P.O. Box 20-4209 • Tel: +231 770 063 046 / +231 777 906 036

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INSTITUTIONAL MEMBERSHIP APPLICATION FORM

For media houses & organizations • Individuals apply here

I. Institution Information

Institution Name *

Type of Media Institution *

Year Established

County of Operation

Physical Address

City / Town

Institution Phone

Official Email *

Website / Social Media

Number of Journalists / Staff

II. Registration & Licensing

Business Registration No.

Media Regulator License No. (if applicable)

III. Head of Institution & Contact Person

Head of Institution (Full Name) *

Title (e.g., Managing Editor / CEO)

Head Phone

Head Email

Contact Person (if different)

Contact Title

Contact Phone

IV. Portal Account Security

Create Password *

Confirm Password *

V. Declaration & Behavior Bond

I, the undersigned, being the duly authorized representative of the institution named above, hereby apply for Institutional Membership of the Press Union of Liberia. I swear that the information provided is factually accurate and agree that the PUL may review and scrutinize all information supplied. I agree that the PUL has the right to grant/adjust/deny/reject this application consistent with its Constitution and By-laws and the Code of Ethics and Conduct for Liberian journalists. I undertake that the institution shall abide by said professional ethical regulations and conduct its professional activities in a professional manner at all times, and that any violations shall be subject to investigation and sanctioning where applicable.

I have read and agree to the declaration above on behalf of the institution.