FORM IV FORM OF APPLICATION FOR SUPPLY OF COPIES OF RECORDS To, The Commissioner, Andhra Pradesh State Archives, Tarnaka, HYDERABAD - 500 007. Sir, I have been permitted to consult records in your Department. I require Xerox / Microfilm (Positive) copies / Photo enlargements of the Records/Books/MSS mentioned below for use in my research. I undertake to pay the charges on intimation from you. 1. Full Name : 2. Designation : 3. Particulars of the Books/Manuscripts/Printed Reports/Records Department/Title Year Page Nos. to be Xeroxed / Micro filmed. 1. 2 3. 4. 5. 6. Address : Signature (Full) (FOR OFFICIAL USE ONLY) File No. /Xerox/91 Condition of Records : Brittle/Good Nature of Records : Confidential / Non-Confidential Pre-1950 / Post -1950 Xerox / Microfilm copies may be supplied on payment of the charges in advance. The applicant may be advised to note down the required information from the records. Jr.Asst. Archivist Assistant Director
