PUNJAB COMMUNICATIONS LIMITED

Regd. Off. : B-91, Industrial Area, Phase VIII, Mohali

FORM FOR OBTAINING INFORMATION UNDER THE RIGHT TO INFORMATION ACT, 2005

The Principal Information Officer,

Punjab Communications Limited

Mohali.

1. Name of the person desiring the information :

2. Address of the person desiring the information :

3. Contact no. of the person desiring the information :

4. Challan No. & Date of the fees deposited :

5. Kind/Brief details of Information desired :

6. Reference to Chapter/Clause of the Memorandum of
Information published by the company :

7. Purpose of obtaining information :

8. Mode of information (Hard Copy/Floppy/CD) :

9. Other Remarks/Comments :

Date :

Place :

Signature of the applicant

FOR OFFICIAL USE ONLY

1. Department to which information referred :

2. Information Received on :

3. Information provided to the applicant :

4. Remarks :

                 (Signature)                                                                 (Signature)

Assistant Principal Information Officer                                 Principal Information Officer