REGISTER FOR SUPPLY OF INFORMATION IN COMPUTER DISKETTE OR FLOPPY OR IN PRINTED PUBLICATION (Under the Provisions of the RTI Act, 2005) Name of the Public Authority : Name of the Office of SPIO : Name of the SPIO : Name of the ASPIO : Sl. No. Date of application Applicant's Name with Father / Mother / Husband Name and address of communication If citizen of India If living below the poverty line Card No. Nature of materials required to be provided with mode of supply 1 2 3 4 5 6 Amount of fee paid Date on which the materials ready for supply Actual date of delivery Signature with date of SPIO / ASPIO Application fee Further fees Amount Date of notification Date of payment 7 8 9 10 11 12 13 Remarks 14 * To be maintained in the office of the SPIO / ASPIO by page marking and giving certificate thereof.
