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Form A Section 6(1) and 7(1) of the RTI Act, 2005.

1 Full Name of the Applicant

2 Address

3 Details of the documents/Inspection/


Samples required

4 Year to which the above pertains

Designation and Address of the Public


5 Information Offcer from whom the
Information is required.

Place: Signature of the Applicant

Date:

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