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FORM A
Form of Application for Seeking Information Under the Right to Information Act, 2005
RTI Application No. ___________________
Date of Receipt ___________________
(For official use)
To
The Central Public Information Officer,
MNIT Jaipur
JLN Marg, Jaipur 302017
1. Full Name of the Applicant (in capital letters) : ARUN KISHOR JOHAR
2. Complete Address (in capital letters) : H. NO.331, WARD NO.1, NEAR MATA CHINTPURNI
TEMPLE, RAISINGHNAGAR
Distt.: SHRI GANGANAGAR State: RAJASTHAN
PIN: 335051
Telephone Nos.
Office : N/A Residence: 01507-220946 Mobile: +91-9414503889
Fax : N/A E-mail Address: johar.arun@gmail.com
3. Whether belong to BPL category : Yes/ No
(If yes, please attach a copy of the BPL certificate, etc. Fees are exempted for citizens belonging to BPL category)
4. Details of Application Fee
Cash Receipt/ DD/ IPO/ Date Name of the issuing Amount (in Rs.)
Bankers Cheque No. Bank/ Authority
DECLARATION
This is to certify that I, Arun Kishor Johar Son / Daughter/ Wife of Shri Om Prakash Johar, am a citizen of
India. Further, I state that the information sought does not fall within the restrictions contained in Section 8 and 9
of the RTI Act, 2005 and to the best of my knowledge it pertains to your office.