Format of Application for seeking Information under the RTI Act

 

FORM - A

Application form for obtaining information

To
The State Public Information Officer /
State Assistant Public Information Officer

Andhra Pradesh Legislature Secretariat
Velagapudi, Amaravathi, Guntur Dist .


1. Name of the applicant

2. Full Address

3. Brief particulars of information required

4. I hereby state that the information sought for us not covered under the categories which are exempted from disclosure of information under Section 8 or Section 9 of the Right to Information Act, 2005 to the best of my knowledge it pertains to your Secretariat.

5. I hereby state that the prescribed application fee of Rs. -------- has been paid vide Receipt No. -------------, date --------------- to Drawing and Disbursing Officer, Andhra Pradesh Legislature Secretariat towards fee payable.


Place:

Date:                                             Signature of the Applicant

 

 

 

 

FORM - B
(See Rule 5)

Appeal under section 19(1) of the Right to Information Act, 2005

To
The Appellate Authority ,
Andhra Pradesh Legislature Secretariat
Velagapudi, Amaravathi, Guntur Dist .

1. Full Name of the applicant

2. Full Address

3. Particulars of the Public Information Officer

4. Date of receipt of the order appealed against (if order passed)

5. Last date for filing the appeal.

6. The grounds for appeal.

7. Particulars of Information

i) Nature and subject matter of the information required.

ii) Name of the Office to which the information relates.


Place:

Date:                                                     Signature of the Applicant