APPLICATION FORM FOR PROVISIONAL INNER LINE PERMIT

FORM - 1

        The Deputy Commissioner

        Papum Pare District.

        Itanagar

Sub :-     Temporary Inner Line Permit

Dear Sir, 

                I have the honour to state the following persons may kindly be allowed to cross Banderdewa/Kimin/Gumto Inner Line check gate for the purpose ........................................................................................................................................

S/No.                        Name of person/persons                                        Permanent address in full

 

          Village             ............................................................................

            Post office        ...........................................................................

            Police Station   ...........................................................................

            District             ...........................................................................

            State                 .........................................................................