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Right to Information - How to use Format for First Appeal From: (Appellant’s name and address) To: (Name/ designation/ address of the appellate authority) (1) Full name of the Appellant : (2) Address: (3) Particulars of the State Public Information Officer: (4) Date of receipt of the order appealed against: (if order passed) (5) Last date for filling the appeal: (6) The grounds for appeal: (7) Particulars of information: (i) Nature and subject matter of the information required (ii) Name of the Officer or Department to which the information relates Place : Mumbai Date : Signature of Applicant Format for Second Appeal From: (Appellant’s name and address) (1) Full name of the Appellant : (2) Address: (3) Particulars of the State Public Information Officer: (4) Particulars of the First Appellate Authority: (5) Date of receipt of the order appealed against: (6) Last date for filing the appeal: (7) The grounds for appeal: (8) Particulars of information (i) Nature and subject matter of the information required (ii) Name of the Officer or Department to which the information relates Place : Mumbai Date : Signature of Applicant Application under ‘Right to Information” To, The State Public Information Officer, (Name of the Office with Address) (1) Full name of Applicant : (2) Address: (3) Particulars of the information required (i) Subject Matter of Information : (ii) The Period to which the information relates: (iii) Description of information required: (iv) Whether the information is required by post or in person: (the actual postal charge shall be included in additional fees) (v) In case by post (Ordinary, Registered or Speed) (4) Whether the applicant is below poverty line (if yes, attach the photocopy of the proof thereof. Place : Mumbai Date : Court fee stamp Rs.10/- affixed Signature of Applicant |

