FORM( A)
Application
Under Section 6(1) of the Right to Information Act 2005
Date: ....................
To
Public Information Officer
Mishra Dhatu Nigam Limited
Kanchangbagh : PO
Hyderabad - 500 058
Dear Sir/Madam,
1. I am a citizen of India. Please furnish the following information to me at my address :---------------------------------
2. To the best of my knowledge, the above desired information does not relate to Section 8 & 9 of the Act,
which are exempted from disclosure
3. Whether the information sought concerns the life and liberty of a person? [Yes/No] (Please tick any one)
4. Details of the fee paid:
4.1 Mode: Cash / DD / Bankers cheque No _______________ Date_______ Amount______
Signature of applicant)
Name:.. ..........................................................
Address: ........................................................
.......................................................................
.......................................................................
Phone No. .....................................................
E-mail : ..........................................................
|