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Application Form

Application Form

 

FORM No.1
 
         (APPLICATION UNDER SECTION 6(1) OF RIGHT TO INFORMATION ACT, 2005)
 
  1. NAME OF APPLICANT: ______________________________________________
 
  1. FULL ADDRESS OF THE APPLICANT:__________________________________
____________________________________________________________________
 
  1. TELEPHONE NO:   __________________________________________________
 
  1. DATE OF APPLICATION:   ____________________________________________
  
  1. NAME OF OFFICE:   __________________________________________________
 
  1. TYPE  OF INFORMATION  DESIRED    ___________________________________
  1. REQUIRED WHETHER COPY/INSPECTION/INSPECTION OF   RECORD/CERTIFIED COPY OF RECORD:  _________________________________________________ 
 
 8: MODE OF REMITTANCE OF PROCESS FEES OF RS.10/- IN CASH/DD/IPO
 
      __________________________________________________
 
 9. WHETHER APPLICANT BELOW POVERTY LINE YES/NO.
 
    __________________________________________________
                                                           
    
                                                                                                                                        SIGNATURE  OF APPLICANT

 
Source : Patiala Locomotive Works Last Reviewed : 01-06-2026