Form ‘A’

FORM OF APPLICATION FOR SEEKING INFORMATION

(See rule 3)

                                                                                                      

  I.D.No_________

 (For official use)

To

            The Competent authority,

            ………………………………

…………………………

   

1.

Name of the Applicant

:

……………………………………..

2.

Address

:

………………………………………..

3.

Particulars of information.

(a) Concerned department

 

(b) Particulars of information       required.

 

:

 

 

:

 

…………………………………….

 

…………………………………….

 

i) Details of information required

:

……………………………………….

 

     

ii) Period for which information      asked for

:

……………………………………….

 

iii) Other details

:

………………………………………

 

4.          I state that the information sought does not fall within the restrictions contained              in the Right to Information Act, 2005 and to the best of my knowledge it              pertains to your office.

 

5.           A fee of Rs.____________ has been deposited in the office of the               Competent authority vide No_______________________dated________________.

 

Place:……………….

                                                                               

Signature of applicant

E-mail address, if any………………………..

Tel.No (Office)……………………………...

Residence……………………………………

 

Date:………………..                              

                                                     

                                                     

 

 

CENTRAL TOOL ROOM & TRAINING CENTRE, BHUBANESWAR.

ACKNOWLEDGEMENT OF APPLICATION

 

I.D.No_____________                                                           Dated:___________

 

           1. Received an application in Form A from Shri/Ms._________________               resident  of ____________________ under the Right to Information Act,               2005. 

2. The information is proposed to be given normally within 30 days from the date of receipt of application and in case it is found that the information asked for cannot be supplied, the rejection letter shall be issued stating reason thereof.

3.  The applicant is advised to contact the Shri._________________ between   11A.M. to 1P.M.

4. In case the applicant fails to turn up on the scheduled date(s), the Competent   Authority shall not be responsible for delay, if any.

5The applicant shall have to deposit the balance fee, if any, with authorized person before collection of information.

 

6. The applicant may also consult Web-site of the department from time to time to ascertain the status of the application.

 

Signature and Stamp of the

Authority accepting the application

E-mail address:

Web-site:……………….

Tel.No………….

 

                                                 

                                                                 

                                                                 

 

 

 

Dated:………………………..

 
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