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RTI Application Format

This document is an RTI application form requesting information from the Central Public Information Officer. It includes details such as the applicant's name and address, the fee paid for the application and any photocopies requested. It also states that the applicant is a citizen of India seeking information as a citizen, and that they will not share the information in a way that could harm national unity or interests. The applicant signs and dates the form to submit their request for information under the Right to Information Act.

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Ajith Kumar Anbu
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218 views

RTI Application Format

This document is an RTI application form requesting information from the Central Public Information Officer. It includes details such as the applicant's name and address, the fee paid for the application and any photocopies requested. It also states that the applicant is a citizen of India seeking information as a citizen, and that they will not share the information in a way that could harm national unity or interests. The applicant signs and dates the form to submit their request for information under the Right to Information Act.

Uploaded by

Ajith Kumar Anbu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RTI APPLICATION FORM

To,
The Central Public Information Officer
________________________
____________________________
____________________________
PIN: _______________________

Sir,

Subject: Request for Information under Right to Information Act 2005.

I Sri / Smt /Ms.


__________________________________________________________
Son/Daughter/wife of Shri/Smt/Ms.
__________________________________________
resident of
______________________________________________________________,
telephone number (with STD Code) ____- _____________________ and/or mobile
number: ______________________________ wish to seek information as under

----------------------------------------------------------------------------------------------------------------
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I hereby inform that following formalities have been completed by me:

1. That I have deposited the requisite fee of Rs. _____/- by way of Cash / banker
cheque / Draft / Postal Order/ others ___________________ ) favoring
__________________________________ dated ________________.

2. I need the photocopy of the documents and I had deposited the cost of the
photocopy of Rs. ____/- for _____ (Number of Pages)

or
3. I had deposited sum of Rs. _____/- for the charges of CD. (strike out which ever
is not applicable)

4. That I belong to Category of below Poverty Line (BPL): Yes / No


(Strike whichever is not applicable). If yes, I am attaching the valid photocopy of
the certificate. Yes / No

5. That I am ‘Citizen’ of India and I am asking the information as ‘Citizen’.

6. I assure that I shall not allow/ cause to use/ pass/share/display/ or circulate the
information received in any case and under any circumstances, with any person or
in any manner which would be detrimental to the Unity and Sovereignty or
against the Interest of India.

Signature of the Applicant


Dated:

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