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Wednesday, 01 September 2010 05:30

Download Right to Information(RTI) Application Form

Download forms for state: Punjab
Form Details
StatePunjab
DepartmentDepartment of Local Government
TitleRight to Information(RTI) Application Form
LanguageEnglish
Document Size58.9 KB
Text of the PDF document(for quick reference)
RTI Application Form FORM 'A' See Rule 3(1) I. D. No....... (For Office Use Only) To The Public InformationOfficer/ Assistant Public InformationOfficer 1.FullName ofThe Applicant : ____________________________  2.Father Name/Spouse Name : ____________________________  3.Permanent Address : ____________________________  : ____________________________  : ____________________________  4.Correspondence Address : ____________________________  : ____________________________  : ____________________________  5.Particulars ofThe InformationSolicited a) SubjectMatter ofInformation(*) : ____________________________  b) The period towhichinformationrelates(**): ____________________________ c) Specific DetailsofInformationrequired (***): ____________________________  d) Whether informationisrequired byPost : ____________________________ orinperson(the actualpostalfeesshallbe : ____________________________ included inadditionalfee inproviding the information) e) Incase byPost(ordinary/registered : ____________________________ or speed post) 6.Is this informationnot made available by  public authorityunder voluntarydisclosure? : ____________________________ 7.Doyou agree to paythe required fee? : ____________________________ 8.Have you deposited applicationfee? : ____________________________  (IfYes,Detailsofsuchdeposit) : ____________________________ 9.Whether belongs to below PovertyLine category? : ____________________________ (Ifyes, you furnished the proofofthe same with  application?) Place: Signature ofApplicant  Date:  (*) Broad Categoryofthe subject to be indicated (suchas grant ofgovernment service matters/Licenses etc.) (**) Relevant period for whichinformationis required to be indicated. (***) Specific details ofthe informationare required to be indicated. Name ofthe Department or Public Authority  FORM "B"  [See rule3 (2)] Acknowledgement  Office ofthe State Public InformationOfficer Received the application formfrom  Mr/Ms : ____________________________  Address : ____________________________  : ____________________________  : ____________________________  Seeking information on(Subject to be specified)  : ____________________________  : ____________________________  : ____________________________  Vide DiaryNo.: ____________________________Dated:_________________________  Place Date  FullName ofState Public InformationOfficer/ State Assistant Public InformationOfficer Designationand Seal
Last Updated on Friday, 17 December 2010 05:30
 

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