Application for Information under Section 6 (1) of RTI Act, 2005

To, The CPIO Sir, Sub: Information sought under RTI Act, 2005- Furnishing of information . for the period from . to .. Reg 1 2 3 4 5 6 7 8 9 Name of the Applicant Address Whether a Citizen of India Yes

Whether the Applicant is below poverty line No Particulars of Information sought I state that the information sought is covered under RTI Act and does not fall within the exemptions contained in Sections 8 or 9 or any other provisions of the RTI Act, 2005 and to the best of my knowledge it pertains to your office A Postal order No dated .10.2010 for Rs 10/- towards the payment of fee is enclosed herewith. You are requested to fill the name in which the Postal Order is payable As per Rule 4 (a) of the Right to Information (Regulation of Fee and Cost) Rules, 2005, a fee of Rs 2/- per page is payable. Kindly intimate the amount payable and the name in which DD/ postal order is to be drawn Information may kindly be sent by Registered post to the address indicated hereinabove

Place: Date: SIGNATURE OF THE APPLICANT