Form –A
See Rule -4(I)
APPLICATION FOR INFORMATION UNDER SECTION 6(1) OF THE ACT
To
The Principal
Government Aizawl West College, Dawrpui Vengthar
Aizawl – 796001, Mizoram.
Ph: 0389-2325945/2317241
01. Full Name of the applicant :
02. Father/ Spouse Name :
03. Permanent Address :
04. Particulars in respect of identity of the :
applicant
05. Particulars of information solicited
a) Subject matter of information :
b) The period to which the
information relates :
c) Specific details of information
required :
d) Whether information is required by
post or in person
(The actual postal charges shall be
Included in providing information)
e) In case by post (ordinary/ :
registered/speed)
06. Address to which information will be :
sent & in which form
07. Has the information provided earlier ? :
08. Is this information not made available :
By the public authority ?
09. Do you agree to pay the required :
fee ?
10. Have you deposited application fee ? :
(If yes details of such deposit)
11. Whether belongs to BPL category :
have you furnished the proof of the
same
Place :
Date :
Full Signature of the applicant
Address
Office of the Govt. Aizawl West College
Received the application form ……………………………………………………………………………………………………..
………………………….. address …………………………………………………………………………………………………………..
…………………………………………………………………………………… on ………………………………………………………….
…………………………………………… seeking information.
Place :
Date :
Full name of Principal.
Designation & Seal
