igh Court 20,000 182238 26 6 7006 G4 FORM A APPLICATION FOR SEEKING INFORMATION (See Rule 5) Application No Denis of fe remited To The Public Information Officer! : ‘Asst Public Information Officer, 1. Name of Applicant 2. Address for correspondence 3. Nature and details of information required 4. Indicate whether the applicant is a party to the litigation, if information sought i in respect ofa case 5. The official whois in custody ofthe file/mater, ifknown tothe applicant Phe: Date: . Signature of the applicant For office use Details of fee remitted for copy of document furnished No. of pages Mode of remittance Amount DateForm-D APPEAL UNDER SECTION 19 OF THE RIGHT TO INFORMATION ACT, 2005 [See Rule 15(1)] Appellate Authority : ‘The Registrar General ‘Address:- High Court of Kerala, Ernakulam. 1. Name of the appellant 2. Address for communication 3. Name of Public Information Officer and Application No. 4. Date of submission of application in Form A zl 5. Date of rejection of application or 30 days from submission of Form Ais over 6. Reasons for appeal - (@) No response received in Form B or C within thirty days of submission of form A (b)_Aggrieved by the response received within fl Prescribed period (Copy of the reply receipt be attached) (©) Grounds for appeal 7. Last date for filing the appeal [See Rule 14(1)(b)] ‘ 8. Particulars of Information @) Information requested Gi) Subject Gil) Period fl Signature of Appellant: Place : E-mail Address, if any Date : ‘Telephone No.(Office) : (Residence) :FORM No.9 (Rule 128) Application for certified copy To ‘THE DEPUTY REGISTRAR HIGH COURT OF KERALA ERNAKULAM Sir, Please furnish me with certified copies of the documents mentioned herein Serial No. No, of Case Pending or finally disposed of Date of disposal Description of documents Number of copies required Dated this the day of 201 Counseltorthe pebionsx | ntsfondans‘[FORM No. 9A. (Rule 128) Application for carbon or photostat copies of documents To ‘The Deputy Registrar, High Court of Kerala, Ernakulam. Sir, Please furnish me with free copies of the documents mentioned hereunder: SL Case. ‘Date of For which Description No. of No. No. Disposal Respondent’ —_of document copies Petitioner the required Application is made Dated this the... day of. ‘ Government Pleader/ Central Government Standing Counsel] Scanned by CamScanner