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APPLICATION FORM (RIGHT TO INFORMATION ACT, 2005)

To
The Central Public Information Officer()
MNIT JAIPUR
JLN Marg Jaipur 302017.
1. Name of the Applicant: ___________________________________________________________
2. Address with PIN: ________________________________________________________________
________________________________________________________________
________________________________________________________________
3. Specify the particulars of the information sought: _____________________________________
4. Format in which information is required a) In printed form b) In soft copy(CD)
5. Mode of delivery expected (ordinary post, speed post, by hand, through internet or email,
by fax etc. Please Specify__________________________
6. I state that the information sought does not fall within the restrictions contained in section 8
and 9 of the Act and to the best of my knowledge
7. I also state that I am a citizen of India and I am eligible to seek information under the RTI
Act 2005.
8. Application fee:Rs.10/-by DD/Cheque(at par)/Indian Postal Order in favour of The
Registrar, MNIT Jaipur DD No./Postal order No.

Place:_________________ Name & Signature: __________________________________


Date:__________________ Postal Address: _____________________________________
Contact Tel No (with STD Code): _____________________________
Mobile No: _____________________________ E-mail: _____________________________