Application Form for RTI

Format of application for obtaining information under the Right to Information Act, 2005

To, The Public information Officer,

(Name of the Office with Address)

(1) (2)

Full name of Applicant: Mr./Mrs./Ms. Address:

(3)

Particulars of the information required

Find the application fee for the request attached with this application.If you feel that above requested information does not pertain to your department then please follow the provisions of Section 6(3) of the RTI Act, 2005/Also as per the provisions of the RTI Act, 2005 please provide the details (Name and Designation) of the first appellate authority w.r.t to your department with the reply to the above request., where I may if required file my first appeal. (iv) Whether the information is required by post or in person: By Post

(4) Whether the applicant is below poverty line

(if yes, attach the photocopy of the proof thereof.)

NO

Place: Date:

Signature of the Applicant

Fee of Rs.10/- sent in cash/by moneyorder/ by payorder no..