APPLICATION UNDER ‘RIGHT TO INFORMATION ACT, 2005

To,

(Name of the Officer)

Address of his office
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Full name of :
Applicant
Address :

:
’

Particulars of
information
required
Subject matter of :
information
Whether :
information is
required by post or
in person
In case by post : .
(ordinary,
registered or
speed)
Whether the :
Applicant is below
poverty line
Purpose for which :
the information is
required

Place: Mumbai or Delhi etc; Write Your Name here

Date: (Signature of Applicant)