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Application Form Und Err Ti

(1) This document contains an application form for seeking information under the Right to Information Act of 2005 from the Centre for Development of Advanced Computing (C-DAC) in Noida, India. (2) The application requests information on a particular subject matter and time period and specifies whether the information is needed by post or in person. (3) It requires the applicant to provide identification details and declares that the information will only be used for personal purposes and not shared with others.

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cgvipin8639
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58 views

Application Form Und Err Ti

(1) This document contains an application form for seeking information under the Right to Information Act of 2005 from the Centre for Development of Advanced Computing (C-DAC) in Noida, India. (2) The application requests information on a particular subject matter and time period and specifies whether the information is needed by post or in person. (3) It requires the applicant to provide identification details and declares that the information will only be used for personal purposes and not shared with others.

Uploaded by

cgvipin8639
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Application fee: Rs.

10

Application form for seeking information under The Right to Information Act, 2005

Date DD MM YY
The Public Information Officer,
Centre for Development of Advanced Computing
C-56/1,Anusandhan Bhavan
Institutional Area, Sector-62,
Noida-201307

Sir,
I hereby request you to provide following information under Right to Information Act, 2005
in respect of your center.

Particulars of information required (All fields are mandatory):

(i) Subject matter & Description of information required: (ii) The period to which the
information relates:
From (DD/MM/YY)
To (DD/MM/YY)

(iii) Whether information is required by:


Post (The actual postal charges shall be included in additional fees) In Person
□ Ordinary □ Registered □ Speed

(iv) Please enter any one of the following:


PAN card No
Voter's card No:
Passport No:
Ration card No:
I hereby declare and confirm that I am an Indian citizen and as such I am entitled to seek information under
RTI Act, 2005. I have attached copy of my PAN card/ Voter's card/ Passport/ Ration card in support of my
citizenship. I shall use this information for my personal purpose only. I assure and confirm that in any case
or/and under any circumstances, I shall not ( allow/cause) use/pass on/share/display/keep/circulate the
information received, with any person or in any manner which would be detrimental to/against the interests
of India. If any information /declaration turns out to be incorrect or false, I shall be responsible and liable
for consequences apart from losing right to receive information.

Signature of the applicant


Place: Date:

Full name of the applicant (Fill in Block letters):


Surname First Name Second Name

Address:
House No./ Bldg. Name
Street Name/Area
City & Pin Code
Telephone
E-mail
(For Office Use)
Reference: Received by:
DD MM YY
C-DAC/Noida/RTI/ □ Post □ E-mail
Sign and Name of receiving officer
(For Office Use Only)

Follow Up Status

Application forwarded to: Name:


Designation:

Signatures of Receiving Officer Time DD MM YY

Information Received on
Time DD MM YY

1st Reply 2nd Reply 3rd Reply 4th Reply


Information sent (DD/MM/YY) (DD/MM/YY) (DD/MM/YY) (DD/MM/YY)
to applicant on

Information has to be sent to applicant on /before Date:


DD MM YY

Signatures (when the information was sent)

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