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.
- Full Name:
- Full Address:
- Phone/Cell No:
- Email ID:
- 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:
Application Fee of Rs.10 was remitted as [IPO/DD/Banker’s Cheque] numbered [IPO/DD/Banker’s Cheque Number] dated [Date of payment]
| 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 | |
YES / NO / ONLINE
Photocopies of original RTI application with its enclosures, postal proof of mailing and delivery confirmation, acknowledgement of PIO, decision letter of PIO.
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
First Appeal.docx
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DOCX
First Appeal.pdf
83KB
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PDF
Last modified 1yr ago