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FORM "A"
(See Rule 3(1))
Application for Information under "Right to Information Act, 2005"
To,
The Public Information Officer / Assistant Public Information Officer
| 1 | 1. Full Name of the Applicant | |
| 2 | 2. Father / Spouse Name | |
| 3 | 3. (a) Permanent Address | |
| 4 | (b) Correspondence Address | |
| 5 | 4. Particulars of the Information Solicited | |
| (a) Subject Matter of Information | 🔒 Locked — Complete payment to view | |
| (b) Period to which information relates | 🔒 Locked — Complete payment to view | |
| (c) Specific Details of Information required | 🔒 Locked — Complete payment to view | |
| (d) Mode of receiving information | 🔒 Locked — Complete payment to view | |
| 6 | 5. Whether Below Poverty Line category | 🔒 Locked — Complete payment to view |
Place:
Date: 12/06/2026
Signature of Applicant
Verification code will be generated upon payment
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