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. ____________
