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<div class=3DSection1>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'>KENDRIYA VIDYALAYA SANGATHAN<o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><u>(REGIONAL OFFICE) JAIPUR)<o:p></o:p></u></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></u></b></p>

<p class=3DMsoNormal><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>(INFORMATION <st1:stockticker w:st=3D"on">CELL</st1:stockticker> UND=
ER RTI
ACT-2005)</p>

<p class=3DMsoNormal><u><o:p><span style=3D'text-decoration:none'>&nbsp;</s=
pan></o:p></u></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><u>APPLICATION <st1:stockticker w:st=3D"on">FORM</st1:stockticker> =
FOR
OBTAINING INFORMATION</u><o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><o:p>&nbsp;=
</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'>Application No</b>.</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'><span style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt'>1. Name =
&amp;
Address of the Applicant (Address Voluntary) (In Capital Letters</span></b>=
<span
style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt'>)<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </=
span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><o:p>&nbsp;</=
o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'>2. Details of Information Required<o:p></o:p></b></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>(A)------------------------=
--------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'><o:p>&nbsp;</o:p></b></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>(B)------------------------=
--------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'margin-left:.5in'>---------------------------=
---------------------------------------------------------------</p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><o:p>&nbsp;</=
o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'><o:p>&nbsp;</o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'>3. Whether the information is to be sent by post or to be collected=
 in
person<o:p></o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'><o:p>&nbsp;</o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'>---------------------------=
--------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'>4. Receipt No. of the fee with date stating amount paid<o:p></o:p><=
/b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'><o:p>&nbsp;</o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'>---------------------------=
-------------------------------------------------------------</p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><o:p>&nbsp;</=
o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'>5. Any Other Information<o:p></o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'><o:p>&nbsp;</o:p></b></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'>---------------------------=
-------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'text-indent:.5in'>---------------------------=
-------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'text-indent:.5in'>---------------------------=
-------------------------------------------------------------</p>

<p class=3DMsoNormal style=3D'text-indent:.5in'>---------------------------=
------------------------------------------------------------</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-indent:.5in'><b style=3D'mso-bidi-font-w=
eight:
normal'>Date-------------</b><span style=3D'mso-tab-count:4'>&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b
style=3D'mso-bidi-font-weight:normal'>Signature of the Applicant</b><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;
</span></p>

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