The Public Information Officer

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1. Full name  of the Applicant indicating citizenship
2. Address
3. Particulars of information:

          Concerned department

          Particulars of information required

1.           Details of information required
2.           Period for which information asked for
3.           Other details

    4.    I state that the information sought does not fall within the restrictions contained in Section8  of the Right to Information Act, 2005 and to the best of my knowledge it pertains to your office.

    5.   A fee of Rs.10/-(Rupees Ten) only  has been deposited with the Treasurer, Kolkata Port Trust vide Treasury Receipt No.        dated      . I  I enclose Demand Draft/Banker’s Cheque/Indian Postal
Order bearing No.               drawn on                    in favour of Kolakta Port Trust for Rs. 10/- towards application fee. I seek exemption from payment of fees being below  BPL (proof attached)
 

Place:

Date:

Signature of Applicant

E-mail address, if any

Tel. No.(Office):-------

(Residence)-----------