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RTI Model Application Format For First Appeal PDF

This document provides a model format for filing a first appeal under the Right to Information Act regarding an information request. The format includes sections for providing contact details of the appellant, details of the Public Information Officer whose decision is being appealed, grounds for the appeal, verification by the appellant, and an index of supporting documents. If used, this format would help structure an appeal application in a standardized way as required under the Act.

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Suresh
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8K views

RTI Model Application Format For First Appeal PDF

This document provides a model format for filing a first appeal under the Right to Information Act regarding an information request. The format includes sections for providing contact details of the appellant, details of the Public Information Officer whose decision is being appealed, grounds for the appeal, verification by the appellant, and an index of supporting documents. If used, this format would help structure an appeal application in a standardized way as required under the Act.

Uploaded by

Suresh
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure-VII

Model Application format for First Appeal

Date..……………………Location……...……………

From : Applicant’s full name_________________________________________________


Applicant’s full postal address_________________________________________
Applicant’s telephone No. & email if any_________________________________

To : The First Appellate Authority (of public authority) Full postal address of public
Authority.

Sub : An appeal under Section 19 of RTI Act,2005.

Ref : My application for information under RTI Act, 2005 dated……………..addressed to


PIO/APIO……………….of …………………..office / establishment.

Sir/Madam,
The undersigned hereby submit an appeal application with the following details:-
1. Officer Name, designation & address (with telephone No. ) of PIO against whom the
appeal is preferred.
2. Particulars of PIO orders- Number and date (if any) :
3. Brief facts leading to appeal :
4. Prayer / Relief sought ( e. g. release of information, details of loss for compensation etc.)
5. Appeal grounds for the prayer / relief :
6. Verification by the appellant : I attest that all the information in this application is true
and correct to my knowledge.
7. Index of documents in support of appeal :
( a ) Photocopy of original application with self attestation.
( b ) Photocopy of acknowledgement issued by PIO / APIO on receipt of application
(and Post Office acknowledgement of Registration / Speed Post if any ).
(c) Photocopy of money receipt in case of Cash or Cheque / DD / IPO number / BPL
Card, if any.
( d ) Photocopy of the response of PIO / public authority / official, received with their
Letter number and date- with self attestation, if any.

(Signature/ Thumb impression) Name

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