Right to Information Act-2005

Application for Information

Subject: Application under-Section 6(1) of Right to Information Act-2005.

To. Central/State Public Information Officer, (Name & Address of CPIO/SPIO)

Particular of information required:

Applicant Name:

Father's/Spouse Name:

Category (SC/ST/OBC):

Below Poverty Line (BPL) (Write Yes or No):

Yes No

Postal Address:

Phone/Mobile No:

e-mail Id:

List of enclosures:

Date: Place:

Signature of Applicant

Note: Strike out whichever not applicableSelect either CPIO (Central Public Information Officer) or SPIO (State Public Information Officer) in your application.