Sample RTI Application

(Affix Rs 10/- Court fee Stamp 0r Postal Order)

Annexure A

(see Rule 3)

Format of application for obtaining information under the Right to Information Act 2005

To,

The Public Information Officer,

        …………………………………………………..

        …………………………………………………..

1. Full name of Applicant:  

    

      2.  Address:                               

3.  Particulars of Information required:

a.    Subject matter of Information:.

b.    The period to which information relates:

c.    Description of information required:    

(Give details here)

               

                                            

               (iv)  Whether information is required by post or in person:      

                (v)   In case by post: ordinary, registered or Speed post:         

   

      4.  Whether applicant is below poverty line:      Yes /No

      5.   Postal order for Rs  10 /- as payment for information is enclosed.

         Place:                                                 

         Date 00/00/20087                                                                    Signature of Applicant