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RTI Application Form

Online RTI Application form

The Public Information Officer,

I hereby request you to provide following information under Right to Information Act, 2005 in respect of your Centre.


Fields marked with an asterisk * are mandatory.
*Subject matter of information:
*Description of the information required:
 (Not more than 50 words)
Whether information is required by:


Ordinary Post
Registered Post
Speed Post
Proposed use of this information:
 (Not more than 50 words)
Full Name of Applicant:
 *Last Name
 *First Name
 Second Name
Address:
*House No./ Bldg. Name
*Street Name/Area
*City
*Pin Code
Telephone
* email ID:
* Retype email ID:
(Please be sure to provide a working & valid email ID.
Since the requested information shall be sent a link/URL
to the mentioned email ID)
* Please enter any one of the following

PAN card No:
Passport No:
Voter's card No:
Ration card No:
I hereby declare and confirm that I am an Indian citizen and as such I am entitled to seek information under
RTI Act, 2005. The details of my PAN Card No/ Voter's ID Card No/ Passport No/ Ration Card No are
mentioned above in support of my citizenship. I shall use this information for my personal purpose only.
I assure and confirm that in any case or/and under any circumstances, I shall not ( allow/cause)
use/pass on/share/display/keep/ciculate the information received, with any person or in any manner
which would be detrimental to/against the interests of India. If any information /declaration turns
out to be incorrect or false, I shall be responsible and liable for consequences apart from losing the right
to receive information.