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FORM A

(Sections 6(1) and 7(1) of the RTI Act 2005) 1 2 Full Name of the Applicant Address for communication with Telephone No.

Details & description documents required

of

Period & Year to which the above pertains Designation and address of the Public Information Officer from whom the information is required.

Details of prescribed fee paid

Place : Date :

Signature of the Applicant.

D:\DEPT-FORMS-COLLECTION\Formatted-eForms-pdf\KFDC\FORMAT.doc

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