RTI | Directorate of Shipping Services, A&N Administration

RTI Application Form

FORM 'A'

(See Rule 3(1))

To,
The Public Information Officer / Asst. Public Information Officer
Directorate of Shipping Services, A&N Administration

I.D. No. _____________
(For office use only)

Full Name of Applicant

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Father Name / Spouse's Name

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Permanent Address

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Correspondence Address :

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Particular of Information solicited

Subject Matter of Information :

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The period to which the information relates :

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Specific details to which the information required *** :
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Whether information is required by Post of in person the actual postal (charges shall be included in additional fee in providing information.)

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In Case by post(Ordinary, Registered, Speed Post)

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In this information not made available by The Public Authority under voluntary disclosure
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Do you have agree to pay the required fee?

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Have you deposited application fee? If yes, details of such deposit.

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Whether belongs to below Poverty line category? If yes you furnished the proof of the same will applicant?

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Signature of the Applicant

The details of key officials / personnel for the purpose of Right to Information Act, 2005 :

Name of the Official	Designation	Email	Contact Details
Shri. Pravesh Ranjan Jha	Director (Shipping Services)	dss[dot]and[at]nic[dot]in	Tele: (03192) 230480

Name of the Nodal Officer	Designation	Email	Contact Details
Shri. Ikhlaq Ali	Assistant Manager (IT)	ikhlaq[dot]ali[at]gov[dot]in	Tele: (03192) 238017

Name of the PIO	Designation	Email	Contact Details
Shri. L.T. Shiju Cherian	Assistant Marine Engineer	ltshiju[dot]cherian[at]gov[dot]in	Mobile: +91-9932080480

#	Name of the APIO	Designation	Division / Unit	Contact Details
1	Shri. B.C. Sarkar	Deputy Director / Marine Engineer	DSS	Tele: 03192 - 232725 Mobile: +91-9474286482
2	Shri. Allavi	Assistant Director (Administration) / OIC (Crew Cell)	DSS	Mobile: +91-9474242462
3	Shri. Hillary Kuteech	ALWC / Assistant Director (Commercial)	DSS	Mobile: +91-9531942563
4	Smti. Theanmoli	Assistant Director (Chennai)	DSS	Mobile: +91-9800929288
5	Shri. J. Gopinath	Assistant Marine Engineer	DSS	Mobile: +91-9434262877
6	Shri. S. Rajee	Senior Accounts Officer	DSS	Mobile: +91-9434262867
7	Shri. M. Ajay	Assistant Accounts Officer	DSS	Mobile: +91-7063913890
8	Shri. Rajesh Chandra	Assistant Accounts Officer	DSS	Mobile: +91-9818624573

Select Fiscal Year (FY) for Receipt, Disposal of RTI Applications & Appeals :

In accordance with the provisions of the Right to Information Act, 2005, and in compliance with Chapter II, Section 4(1), Sub-clause (b), the following information is placed :

#	Document Details	View

	Description	Download

Right To Information (RTI)

RTI Application Form

FORM 'A'

(See Rule 3(1))

First Appellate Authority (FAA)

Nodal Officer

Public Information Officer (PIO)

Assistant Public Information Officer (APIOs)