Form A Format – Form of application for seeking

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Form ‘A’
Form of application for seeking information

 

Form A Format - Form of application for seeking
Form A Format – Form of application for seeking

I.D. No._______

(For official use)

To,
The Competent Authority,
_____________________
_____________________

1.    Name of the Applicant: _____________
2.    Address: _____________
3.    Particulars of information: _____________
Concerned department: _____________
Particulars of information required: _____________
i.    Details of information required: _____________
ii.    Period for which information asked for: _____________
iii.    Other details: _____________

4.    I state that the information sought does not fall within the restrictions contained in Section __ of the Act and to the best of my knowledge it pertains to your office.

5.    A fee of Rs. _______/- has been deposited in the office of the Competent authority vide No.________ dated ________.

Place: _________
Date: __________

                                                                                                                                                                                       Signature of Applicant
                                                                                                                                                                                       E-mail address, if any: _____________
                                                                                                                                                                                       Tel. No. ___________
                                                                                                                                                                                       (Residence)___________

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