FORMS:-
B. VARIOUS FORMS:
i) Form-A [See rule-3(1)]
APPLICATION FOR INFORMATION UNDER
THE GIGHT TO INFORMATION ACT 2005.
.
ii) Form-B [See rule 3(3)]
iii) Form-C [See rule 3(3)&6(i)]
.
iv) Form-D [See rule-4(1)]
APPLICATION FOR INSPECTION
UNDER THE RIGHT TO INFORMATION ACT.2005
.
v) Form-E .
Form ‘A’
[See rule -3(1) ]
APPLICATION FOR INFORMATION UNDER
THE RIGHT TO INFORMATION ACT 2005
To
The Public Information Officer/Assistant Public
Information Officer
(Name of the Department from which the information
is sought)
(a) Subject matter of the information
(b) Period to which the information relates.
Month & year
(c) Description of the information required
(d) File No. if available
(e) Whether the applicant claims exemption
As below poverty line family, if yes, attach proof
(f) Original Treasury Challan No
Amount and date of depositing
Application fee under rule 4 be attached.
Applicant
Name_________
Address_______________
Telephone No._______________________
FORM ‘B’
[See rule 3(3) ]
From
Designation of the
Public Information Officer/Assistant Public
Information Officer
(Department-------------)
To
(Name of the applicant)
Address of the applicant.
Reference: Application No.--------------Dated_____________
Subject:
Sir,
Please refer to your application dated____________ referred to above. The information required by you consists of __________ pages and printed publication cost Rs.___________. The additional fee for supplying this information to you is Rs.__________. In case you desire the information to be sent to you by post, an additional amount of Rs.___________ will need to be deposited.
2. You are required to deposit the aforesaid amount of the additional fee in a Government Treasury under Head_________ through challan and send a copy thereof to the undersigned.
3. If you are not satisfied with the amount of additional fee levied, you have a right to prefer appeal to ____________________ within a period of 30 days.
Public Information Officer/Assistant
Public Information Officer
Tel. No.
Form ‘C’
[See rule 3(3) & 6(i)]
From
Designation of the
Public Information Officer/Assistant Public
Information Officer
[Department-______________ ]
To
(Name of the applicant)
Address of the applicant.
Reference: Application No.______________________ dated___________
Subject:
Sir,
Please refer to your application dated ______________referred to above.
2. The information required by you is ready . You are directed to collect the information from the office of the undersigned on any working day of the week during 12.00 to 3.30p.m.
Public Information Officer /Assistant
Public Information Officer
Telephone No.
Form ‘D’
[See rule-4(1)]
APPLICATION FOR INSPECTION
UNDER THE RIGHT TO INFORMATION ACT 2005
To
The Public Information Officer/Assistant Public
Information Officer
(Name of the Department from which the inspection
is sought)
(a) Subject matter of the information
(b) Period to which the information relates.
Month & year
(c) Description of the information required
(d) File No. if available
(e) Whether the applicant claims exemption
as below poverty line family, if yes, attach proof
(f) Original Treasury Challan No.
amount and date of depositing
application fee under rule 4 be attached
Applicant
Name_____________
Address_______________
Telephone No.__________________
Appendix-I
REGISTER OF APPLICATIONS FOR INFORMATION
UNDER THE RIGHT TO INFORMATION ACT 2005
PART-I
|
SSl
NNo
|
Name &
full postal
address
of the
applicant
|
Whether
below
poverty
line
(BPL)
|
Date of
receipt of
application
|
Tentative
date on
which
the record
would be
ready
|
Mode by
which the information
is sent
|
Treasury
challan
No. and
date
|
Signature
of
PIO/APIO
|
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
|
|
|
|
|
|
|
|
|
PART-II
|
Actual date
when the
information is
ready
|
Number of
actual
pages
|
Amount of
additional fee
|
Signature of applicant
with
date in token of receipt
if the
information is delivered
in person
or if the information is
sent by
post its particulars and
date
|
Signature of
PIO/APIO
|
|
9
|
10
|
11
|
12
|
13
|
|
|
|
|
|
|
Appendix-II
INSPECTION REGISTER
UNDER THE RIGHT TO INFORMATION ACT.2005
|
Sl
No
|
Name & full
postal
address of
the
applicant
|
Whether
below
poverty
line(BPL)
|
Subject
matter
of
information
|
Particulars of
record
to be
inspected
|
Time
taken
From__
to____
|
Amount of
Fee charged
|
Signature of
applicant
|
Particulars of
challan
deposited in
treasury
By
PIO/APIO
|
Signature
of
PIO/APIO
|
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
|
|
|
|
|
|
|
|
|
|
|
