Filed RTI By Govind

Cash/Receipt/DD/Bankers Cheque / IPO No.

Date

Name of the issuing Bank/Authority

Amount(Rs.)

71864427040259

718644 / 23-07-07

Shirod Bo Post Office ( IPO )

₹50.00

23-08-08

To The,

Public Information Officer [ Sambalpur ] ( Address Office No... Sambalpur Odisha INDIA PIN 768107 Mobile: 8886418***  )

Applicant’s  :  Govind Dhayal

Details of ( ) application fee/extra:- (Application Fee – Rs.₹50.00 /- @ Rs.2/- Per page made or copied for A-4 size paper, in favor of DD/BC/IPO has been prepared.)

Particulars of information required........

Particulars of Description Hidden By Govind

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I am depositing Rs.₹50.00 separately as application fee.

Sincerely: Govind Dhayal

Working With: S24274Wb2Oo4Ptco43646 Life Medical Agency Private Limited

Address:  ( Hidden )

Place: Sirid Near: Nms Sattakhedi Jajon            

Declaration : I state that the information sought does not fall within the restriction contained in Section 8 & 9 of the RTI Act and to the best of my knowledge it pertains to your office.