RTI APPLICATION

                                FORM -1
Form of application for seeking information under the Right to Information Act,2005.
                                  I.D. No  (For official use)
To The Public Information Officer, …………………………………… ……………………………………
Name of the Applicant :
Address    : …………………………………………………….. : …………………………………………………….. Particulars of information. - : ……………………………………………………..
(a) Concerned department : ……………………………………………………..
(b) Particulars of information  required : ……………………………………………
i. Details of information required : …………………………………………………
ii. Period for which information asked for : ……………………………………………
iii. Other details     : ……………………………………………
4. A fee of Rs 10/- (Rupees ten only)  has been deposited in the office of the Public Information Officer vide  receipt No…………. dated………………..
Place : ……………………
Date : ……………………..

                                    

                   SignatureofApplicant.E-mail address, if any Tel. No.   (Office) (Residence) ---------------------------------------------------------------------------------------------------------------  Note :-   (i)   Reasonable assistance can be provided by the Public Information Officer in  filling up the Form 1