Format to get Information

“The Right to Information Act - 2005”

To,

The Public Information Officer

___________________________

1.     Full Name of Applicant :    

2.     Address :      

                                     

Tip 1: While writing postal address, you must ensure that you write ‘Pin code’ of your place, for quick and smooth delivery of reply. i.e. Prabhadevi, Mumbai  400 025

Tip 2: (Tel.)   STD Code, i.e local area code must be written. i.e. (0253) Nasik, (02352) Ratnagiri, etc.

Tip 3: Give your mobile contact number as well.

3.     Particulars of information required :

     i) Subject of information:        

            a) 

            b)

    ii) Period to which information relates:

       

    iii) Description of information required:

             1)

             2)

             

   iv) Whether information required by post or in person

    v)  In case of post (Ordinary / RPAD / Speed Post)

   

4.      Whether person belongs to below Poverty Line?

                                                              

Place:

                                                                                                                        Sd/-

Dated:                                                                                                      (Applicant)