RTI application format in Kannada and English

ನೊದಾತ ಅೊಚಯ  ನೊದಾತ ಅೊಚಯ ಮಲಕ  ಮಲಕ , ಸವೀಕ಼ ಬಾ   ಬಾ ಇದ  ಇದ  By Registered Post Acknowledgement Due.

ನಮ-ಎ (ಾ.ಹ.ಪ. ಅಧಯಮ ೨೦೦೫ರ ೬(೧) ಮತು ೭(೧) ೀ ಪಕರಣ) FORM A - Section 6(1) & 7(1) of the RTI Act 2005

ಇ಴ೆ, TO,

1

ಅಿಾನ ಪಿ ಹೆಸು Full name of the Applicant

2

ಅಿಾನ ವಾಸ  Applicant's address

3

ೊೇದ ಾಖೆ/ಪಶೇಲೆ/ಮಾದ ವ಴

1)

Details of the Document / Inspection / Sample required

2)

3)

4)

5)

4

ೇನ಴ ಾ಴ ಴ಿೆ ಸಂಬಂಧೆ Year to which the above relates

ಇಂಡಯ ೇಸಟ ಇಂಡಯ  ೇಸಟ ಆರಿ   ಆರಿ ಸಂೆ ಸಂೆ

:

ಹಾಗೂ

ಾಂಕ :

Note: Application Fee of Rs.10/- is paid by IPO No.

ಸಳ / Place: ಾಂಕ / Date:

dated:

ಅಿಾನ ಸ / Signature of the applicant