Format of application form under the Right to Information Act 2005
(To be accompanied with a DD/Postal Order of Rs.10/- drawn in favor of Mazagon Dock Ltd., payable at Mumbai)

The Public Information Officer,
Mazagon Dock Limited, dockyard Road,
Mazagon, Mumbai-400 010.


(1) Full Name of the Applicant : Mr./Mrs./Ms.

(2) Address :

(3) Details of information required (should be specific and clear but not in general terms):


(4) The period to which the information relates:


(5) Whether the information is required by post or in electronic form:


(6) In case of electronic form provide the e-mail ID and / or FAX No.


(7) Purpose for which the information is required:


(8) Whether the applicant is a citizen of India.


(9) Details of DD/Postal Order enclosed:


Signature of the Applicant


Date :



Updated on 17/04/2013