FORM-A (section 6(1) of the RTI Act, 2005) CfðzÁgÀ£À ¥ÀÆtð ºÉ¸ÀgÀÄ 1 Full Name of the Applicant
«¼Á¸À: 2 Address
PÉÆÃjzÀ zÁR¯É/¥Àj²Ã®£É/ªÀiÁzÀj 3 «ªÀgÀ Details of the document/ Inspection/ Samples required
ªÉÄð£ÀªÀÅ AiÀiÁªÀ ªÀµÀðPÉÌ ¸ÀA§A¢ü¹ªÉ.
4 Year to which the above pertains
ªÀiÁ»wAiÀÄ£ÀÄß AiÀiÁªÀ ¸ÁªÀðd¤PÀ ªÀiÁ»w
5 C¢üPÁj¬ÄAzÀ PÉÆÃjzÉAiÉÆà D C¢üPÁjAiÀÄ ¥ÀzÀ£ÁªÀÄ ªÀÄvÀÄÛ «¼Á¸À. Designation and Address of the Public Information Officer from whom the information is required.
Note: Enclose Rs. 10/-I.P.O/D.D./Cash with the application.