RTI Second Appeal Form

Appeal No.: ______________ [For office use only]

Dated:

As I am aggrieved by decision/no decision of Central/State Public Information Officer and/or First Appellate Authority, I hereby file this appeal for your kind decision.

1. Details of appellant

1.1 Full Name:

1.2 Full Address:

1.3 Phone/Cell No.:

1.4 Email ID:

2. Details of CPIO/SPIO

2.1 Name/Designation:

2.2 Full Address:

2.3 Public Authority:

3. Details of First Appellate Authority [FAA]

3.1 Name/Designation:

3.2 Full Address:

4. Dates of RTI application/first appeal

4.1 To CPIO/SPIO:

& mailed on:

4.2 To FAA:

& mailed on:

5. Particulars of Decisions

5.1 CPIO/SPIO Decision:

5.2 FAA's Decision:

5.3 FAA Hearing Date/s:

6. Dates of receipt of replies

6.1 From CPIO/SPIO:

6.2 From FAA:

7. Details of information sought

8. Brief facts of the case

9. Reasons/grounds for this appeal

10. Any other information in support of appeal

11. Prayer/relief sought for

12. Grounds for prayer/relief sought for

13. Personal Presence at hearing

YESNO

14. Declaration

I hereby state that the information and particulars given above are true to the best of my knowledge and belief.

I also declare that this matter is not previously filed with this commission nor is pending with any Court or tribunal or authority.

Place: Date:

Signature of appellant

of Mr./Ms. dated with CIC/SIC.

Sr. No.	Particulars	Page from/to
1.	Original second appeal
2.	Chronology chart of RTI application
3.	Copy of RTI application dated with its enclosures.
4.	Copy of proof of mailing RTI application
5.	DD/IPO/PS/Cash receipt for filing fees and other charges.
6.	Copy of first appeal dated with its enclosures
7.	Copy of proof of mailing first appeal
8.	Postal A.D. card/Acknowledgement letter, received from CPIO/SPIO & FAA
9.	Copy of decision of CPIO/SPIO dated
10.	Copy of decision of FAA dated
11.	Proof of mailing complaint/second appeal to CPIO/SPIO and FAA
12.	Other documents in support of second appeal

Place:

Signature of appellant/complainant

of Mr./Ms. dated

1. Action Date:

2. Application mailed to CPIO/SPIO on:

3. Application received by CPIO/SPIO on:

4. Date of receipt of letter for paying charges:

5. Date of remitting charges to CPIO/SPIO:

6. Date of decision of CPIO/SPIO:

7. Date of receipt of decision of CPIO/SPIO:

8. First appeal mailed to FAA on:

9. Date of receipt of appeal by FAA:

10. Date/s of personal hearing by FAA:

11. Date of decision of FAA:

12. Date of receipt of decision of FAA:

13. Date of Second Appeal/complaint:

14. Date of mailing copy to CPIO/SPIO & FAA:

15. Date of mailing Second Appeal to CIC/SPIO:

Place:

Signature of appellant/complainant

Fill in the appeal/complaint form, index, and chronological chart. If filing an appeal, remove 'complaint/complainant' words, and vice-versa.
Get it typed in double space.
Get one photocopy of:
- Original application under RTI with its enclosures.
- First appeal with its enclosures.
- Bank demand draft/pay slip/postal order/cash receipt used for paying fees.
- Copy of demand letter of CPIO/SPIO for charges, if any.
- Postal proof of mailing original application and first appeal.
- Postal AD slips/official acknowledgement received from CPIO/SPIO and FAA.
- Decisions of CPIO/SPIO and FAA, if received.
Arrange all papers as per the index and then serially number all papers on the top right corner. This is one original set.
Prepare an additional four sets as above by photocopying.
Sign each page of the appeal, index, and chronology chart (all five sets).
Self-attest all the photocopies by signing under the word "Attested".
Send one set by speed/registered/UPC post to each of CPIO/SPIO and FAA and attach photocopy of proof of mailing.
Avoid courier services.
Retain one set for your record and reference.
If acknowledgement is not received from CIC/SIC within 15 days, it is better to send a copy of only the second appeal/complaint with a request to trace the same.
You can consult a local NGO/RTI activist for filing the first or second appeal to have a better result. Services are generally free.