Rti Application Form

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RTI Application Form
FORM ‘A’
See Rule 3(1)
I.D. No._______.
(For official use)
To
The Central Public Information Officer/
Assistant Public Information Officer
……………………….........................
……………………………………….
1. Full Name of the Applicant
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2. Father Name /Spouse Name
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3. Permanent Address
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4. Particulars of the Information sought : -
a) Subject matter of Information (*)
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b) The period to which information relates(**)
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c) Specific Details of Information required (***)
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d) Whether information is required by Post
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or in person( the actual postal fees shall be
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included in additional fee in providing the information)
e) In case by Post (ordinary /registered or
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speed post)
6) Is this information not made available by
Public authority under voluntary disclosure?
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7) Do you agree to pay the required fee?
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8) Have you deposited application fee?
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9) Whether belongs to below Poverty Line category
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(If yes, you furnished the proof of the same with application)
Place:
Signature of the Applicant
Date:

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