APPLICATION FORM FOR INNERLINE PASS / RENEWAL OF INNERLINE PASS INRESPECT OF GOVERNMENT EMPLOYEES OF AUTONOMOUS BODIES ANDPUBLIC SECTOR UNDERTAKINGS AND THEIR FAMILY MEMBERS 1. Name and other details of the employee applying for the ILP i) Name in full (in block letters) ii) Designation iii) Office Address 2. Name(s) and other details of the person(s) in whose favor the ILP is required(in block letter): Sl.No. Name (in block letters) Father's / Husband'sname PermanentResident address Nationality Relationship withthe applicant 3. Place(s) in Arunachal Pradeshintend to Visit / Stay : 4. Purpose of Visit / Stay : 5. Period for which the IPL is requiredand from which date : 6. Employment Certificate / Identitycard ( copy ) Signature of the Applicant N.B. The applicantion should be recommended by the competent authority and the concerned department authority notbelow the rank of Under Secretary to the Govt. of Arunachal Pradesh.
