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RTI Application Form - Template, Sample Form Online

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RTI Application Form - Template, Sample Form Online
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RTI Application Form

Form-A

See Rule 3(1)

I. D. No: _____________

(For office use only)

Dated: ________

To,

Public Information Officer (PIO),

________

(Central Government)

________,
________,
Andaman and Nicobar Islands,
________, IN


Re: Request to furnish information under section 6(1) of the Right to Information Act, 2005 on the following questions/points.


Sir/Madam,


Through this letter, I request you to provide me with a certified copy of the following information:

________.

Please do limit your search of aforementioned items for the duration from ________ to ________.

The following details/documents have been attached along with this letter for your reference:

________

Please provide the aforementioned details through the following method: Postal (Speed Post) to the address mentioned at the end of this document.

I also request you to allow me a time slot with the details to inspect the aforementioned documents/information or samples as the case may be in-person.

I am willing to pay the required cost for getting the aforementioned information after deducting any reductions under the applicable laws.

I am a citizen of India and I am eligible to seek information under the Right to Information Act, 2005. I belong to the BPL category and a copy of the BPL card is attached along with this letter.

I assure that I shall not allow/cause to use/circulate the information received pursuant to this application in any case with any person which would be detrimental to the unity and sovereignty or against the interest of India.


Date: ________

Place: ________


Yours sincerely,


________________________

________


Permanent Address:

________
________
Andaman and Nicobar Islands
________, IN
Ph: ________

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.