Format of application form under the Right to Information Act 2005
(To be accompanied with a DD/Postal Order of Rs.10/- drawn in favor of Mazagon Dock Ltd., payable at Mumbai)

To,
The Public Information Officer,
Mazagon Dock Limited, dockyard Road,
Mazagon, Mumbai-400 010.

 

(1) Full Name of the Applicant : Mr./Mrs./Ms.

(2) Address :

(3) Details of information required (should be specific and clear but not in general terms):

 

(4) The period to which the information relates:

 

(5) Whether the information is required by post or in electronic form:

 

(6) In case of electronic form provide the e-mail ID and / or FAX No.

 

(7) Purpose for which the information is required:

 

(8) Whether the applicant is a citizen of India.

 

(9) Details of DD/Postal Order enclosed:

 

Signature of the Applicant

 

Date :

Place.

 

Updated on 17/04/2013