@extends('layouts.default', ['appTopMenu' => true]) @push('scripts') @endpush @push('head') @endpush @section('content')

@csrf

Enter RTI Details, For which You want to Apply for the Appeal
@if ($errors->has('checkbox'))

{{ $errors->first('checkbox') }}

@endif

Select Establishment:

RTI Number :

Year :

@if (session('status'))

{!! session('status') !!}

@elseif(session('failed'))

{{ session('failed') }}

@endif

@csrf @if( !empty($results->id)) @endif

Registration [Form-A]

Language *

Title *

Applicant Name *

Father's Name:

Age:

Occupation:

Address *

State *

District *

Select Area

Pincode:

Application Date *

Details of Information Required *

Period for which information asked for:

Other Details:

General Information / Tender Documents etc *

Is Below Poverty Line (BPL): *

Yes No

Details of BPL Certificate:

Fee Received Date:

Mode of Fee:

Mode of Fee Nos.:

Fees:

Non-Judicial Stamp/Treasury Challan No.:

Non-Judicial Stamp/Treasury Challan Date:

Application Received On:

E-mail Address:

Landline No.:

Mobile No.:

Source From Received:

Mode of Delivery:

Photo Upload:

Sign Upload:

Application Upload:

@endsection