Form Of Memorandum Of Appeal To The First Appellate Authority printable pdf download

Form Of Memorandum Of Appeal To The First Appellate Authority

FORM-D

See Rule – 7(1)

Form of Memorandum of Appeal to the First Appellate Authority u/s 19(1) of the Act

From

_________________________________

(Applicant's Name & address)

Before

The First Appellate Authority

1. Full name of the Appellant

2. Address

3. Particulars of Public Information Officer

4. Date of receipt of the order appealed against

5. Last date for filing the appeal

6. Particulars of information:

(a) Nature and subject matter of the information required

(b) Name of the office or department to which the

information relates

7. The grounds for appeal

(Details if any to be enclosed in separate sheet)

Verification

I, ________________________________________ Name of the appellant, son of /

daughter of / wife of _______________________________________ hereby declare that the

particulars furnished in the appeal are to the best of my knowledge and belief, true and

correct and that I have not suppressed any material fact.

Signature of the Appellant

Place:

Date:

________________________________________________

Name and address of Appellate Authority

Form Of Memorandum Of Appeal To The First Appellate Authority