Name
*
First Name
Last Name
Email Address
*
Type a question
Contact Number
*
Whatsapp Number
*
Enter your CITY :
*
Your Instagram ID
We need your Instagram user id, to tag you once we post. If you dont have account, just enter NA
Please Select Language
*
English
Hindi
Title of your Micro Tale
*
Your Micro tale
*
Max : 80 words
0/80
Please Upload a profile Picture of yours [Used for Promotions]
*
Browse Files
Cancel
of
I have verified the content before printing (Spell Mistakes) :
*
Yes
No
I agree that the content I submitted, is original and is penned by me : *
*
Yes
No
In case shortlisted, I authorize Rostrum Diaries to print my content in the book *
*
Yes
No
Kindly Sign (Use Mouse / Smart Touch) *
Clear
Submit
Follow us on our social handles
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform