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Sri
____________________________
____________________________
____________________________
-8-
FORM – D
[See Rule – 7 (1)]
Form of Memorandum of Appeal to the first Appellate Authority under
Section 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
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