Application Under Right To Information Act (R.T.I.) Blank Form

You can find many Blank applications for the same, but the following is more formal, organized and table-formed RTI Blank Form.

 

 

FORM “A”

See Rule 3 (1)

Application for information section 6 (1) of the Act 

To

The Public Information Officer,

 

 

 

1	Full Name of the Applicant
2	Father’s/ Spouse’s Name
3	Permanent Address
4	Correspondence Address
5.	Particulars of information solicited
a)	Subject matter of information
b)	The period to which the information relates
c)	Specific details of information required
d)	Whether information is required by post or in person (the actual postal charges shall be included in providing information )
e)	In case by post, then indicate whether by ordinary , registered or speed post
6.	Is this information not made available by public authority under voluntarily disclosure?
7.	Do you agree to pay required fee?
8.	Have you deposited application fee? (if yes, details of such deposit)
9.	Whether belongs to below poverty line category? If yes, have you furnished the proof of the same with the application?

Place:-

Dated:-

Full Signatures and

address of applicant