To
Public Information Officer,
Banaras Locomotive Works,
Varanasi - 221004.
Sub:- Information under RTI Act, 2005.
1. Full name of applicant
2. Address
3. Contact No. (if any)
4. Particulars of Information required
i. Subject matter of information
ii. The period to which information relates
iii. Description of information required
iv. Whether information is required in person or by post.
5 (a) Particulars of fees paid (Cash receipt, Demand draft, Bankers’ cheque or Indian Postal Order)
OR
5 (b) Whether the applicant is below poverty line (if yes, attested copy of proof thereof)
Signature of applicant
