‘nab Reo tat es 2009 GOVERNMENT OF PUNJAB DEPARTMENT OF. FROM ‘A° (see RULE 3) ARPLICATION FOR INFORMATION UNDERSECTION 61) OF THE ACT 10 1. Full name of the applicant 2. Futher’sSpouse nane 3 Permanent address 4, Particulars in respect of identity of the applicant 5: Particulars of information solicited a. Snbject matter of infermstion bo The period to whi ermation eles ©. Specific details of information required — Neeser ‘: 4. Whether infomation istequived by pos or in person ata {tie actual postal charges shall be included in providing Information) leery ‘caso by post (ordinary, registered or speed) £ Haw a selP addressed envelope with proper Stamp been included 6, Detailed nddross to whi formation not beon available by the public Authority under voluntary disclosure 8, Do you agree to pay the required fee 9. Have you deposited application fe (if yes details @F auch deposi) 10, Whether belongs to below poverty Tine ewegory {if yes have vou furnished the proof ofthe same with the-application) = Place: Date: Full and Addons