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Form A' Form of Application For Seeking Information Under The Right To Information Act, 2005

This document is an application form under the Right to Information Act seeking information from the Central Public Information Officer. [1] It requests the basic pay and academic allowance paid to various nursing faculty positions at AIIMS for January and February 2019 as well as a certified copy of the order establishing academic allowances. [2] The applicant provides their name, address, contact details and declares that the information sought does not violate any restrictions under the RTI Act. [3] The form is submitted with an application fee of Rs. 10.

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Anand La
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457 views2 pages

Form A' Form of Application For Seeking Information Under The Right To Information Act, 2005

This document is an application form under the Right to Information Act seeking information from the Central Public Information Officer. [1] It requests the basic pay and academic allowance paid to various nursing faculty positions at AIIMS for January and February 2019 as well as a certified copy of the order establishing academic allowances. [2] The applicant provides their name, address, contact details and declares that the information sought does not violate any restrictions under the RTI Act. [3] The form is submitted with an application fee of Rs. 10.

Uploaded by

Anand La
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Application Fee: Rs 10/-

FORM ‘A’
Form of Application for Seeking Information Under the Right to Information Act, 2005
RTI Application No. ___________________
Date of Receipt
___________________
(For official use)
To
The Central Public Information Officer,
________________________________
________________________________

1. Full Name of the Applicant (in capital letters) : __________________________________


2. Complete Address (in capital letters) : __________________________________
__________________________________
Distt.____________State______________
Telephone Nos.
Office : ______________Residence:______________ Mobile: ___________________
Fax : ________________ E-mail Address: ______________________
3. Whether belong to BPL category : Yes/ No
__NO_________________________
(If yes, please attach a copy of the BPL certificate, etc. Fees are exempted for citizens belonging
to BPL category)
4. Details of Application Fee :
Cash Receipt/ DD/ Date Name of the issuing Amount (in Rs.)
IPO/ Bankers Bank/ Authority
Cheque No.
Application Fee: Rs 10/-

5. Particulars of Information require

Kindly provide information to the following questions.


1. What is the basic pay and academic allowance paid to Lecturer, Assistant
professor, Associate Professor, Professor cum Principal employed in College
of Nursing of AIIMS, in the month of Januaary,2019 and
February,2019 as per records available?
2. Kindly provide the certified copy of order/memorandum based on which
academic allowance paid to nursing faculty.

6. How the applicant would like his information to be sent (Please tick) :
a) By Post b) By E-mail c) By Fax d) To be collected by Person

DECLARATION
This is to certify that I, __________________________________________ Son/
Daughter/ Wife of ________________________________________, am a citizen of India.
Further, I state that the information sought does not fall within the restrictions contained in
Section 8 and 9 of the RTI Act, 2005 and to the best of my knowledge it pertains to your
office.

Date & Place: Signature of


Applicant

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