Information about RTI - India

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ANNEXURE  “A”

Affix Court fee stamp of Rs.10/-

                                                                   (See rule 3)                                                                  

Format of Application for obtaining information under

The Right to Information Act 2005

To: The State Public Information Officer,

(Name of the office with address)

1. FULL NAME OF APPLICANT  :             

2. ADDRESS  :          

3. PARTICULARS OF INFORMATION REQUIRED                     

(i) Subject matter of information : (ii) Period to which the information relates : (iii) Description of information required : (Details may be attached on additional A4 size paper if required) (iv) Whether information is required by post or in person : (v) In case by post (Ordinary, Registered or Speed) :

4. WHETHER THE APPLICANT IS BELOW POVERTY LINE : (If yes, attach a photocopy of the proof thereof)

                                        

Place   :

Date    :                                                                       Signature of the applicant