Right to Information :: Application Form

Applicant's Personal Details

Applicant's Salutation *

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Applicant's First Name *

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Applicant's Middle Name

Applicant's Last Name *

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Guardian's Salutation *

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Guardian's First Name *

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Guardian's Middle Name

Guardian's Last Name *

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Relation with Guardian *

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Economic Status *

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BPL Card No.

Applicant's Qualification

Applicant's Date of Birth

Applicant's Gender

Applicant's Marital Status

Applicant's Caste

Applicant's Religion

Applicant's Photo

Applicant's Aadhaar Number

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If you select BPL, Supporting Document has to be uploaded!

Applicant's Address Details

Address Line 1 *

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Address Line 2

Address Line 3

Country *

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State *

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District

Postal / Zip Code *

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Applicant's Contact Details

Mobile Number *

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E-Mail

Service Specific Information

To which District Magistrate(DM) do you want to apply? *

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Describe nature of information/ Sample/ Model/ Materials to be provided *

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Name, Designation and Office Address of any person, whose assistance may be required for seeking the information inspection

Service Output Type *

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Eligibility

1. Whether citizen of India ? *

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Yes

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2. Do you have any valid proof for BPL category ? *

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Yes

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3. Do you want to upload any other Supporting Document related to your RTI query ? *

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Yes

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Do you consent to share your email Id and mobile number with Rapid Assessment System developed by Government of India for taking your feedback on the service? *

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Yes

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Note 1: Please upload filled and signed (scan) copy of "Common Application Form" in Attach Annexure Page.

Note 2: This RTI Service is related to Supply of Information in Normal Course in 30 Days only.