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First Appeal
A generic First Appeal application format in English
To
First Appellate Authority under RTI Act
[Address of Public Authority]
[Date]
Subject: First Appeal under the RTI Act 2005
Dear FAA,
As I am aggrieved by decision/no decision of the Public Information Officer, I hereby file this appeal for your kind decision.
1. Details of Appellant:
- Full Name:
- Full Address:
- Phone/Cell No:
- Email ID:
2. Details of Central/State Public Information Officer:
- Name/Designation:
- Name of Public Authority:
- Full Address:
- Date RTI application was sent on:
- Date on which the PIO received RTI:
- Reference No of PIO Decision:
- Date of PIO Decision:
- Date of receipt of decision by myself:
3. Particulars of Payment of Fee:
Application Fee of Rs.10 was remitted as [IPO/DD/Banker’s Cheque] numbered [IPO/DD/Banker’s Cheque Number] dated [Date of payment]
4. Details of information sought under RTI Act:
5. Brief facts of the case leading to appeal:
6. Reasons/grounds for this appeal:
Only tick the reason which is applicable
i
PIO did not send reply
ii
Reply refused, without due justification
iii
Reply is incorrect / misleading / false
iv
Reply is partial or incomplete
v
Any other reason written below
7. Any other information in support of appeal:
8. Prayer/relief sought for:
9. Personal Presence at hearing:
YES / NO / ONLINE
Enclosures:
Photocopies of original RTI application with its enclosures, postal proof of mailing and delivery confirmation, acknowledgement of PIO, decision letter of PIO.
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
Strike out whichever is not applicable
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