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.
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1. Details of Appellant:
Full Name: 

Full Address: 

Phone/Cell No: 

Email ID: 

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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]

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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
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iii
Reply is incorrect / misleading / false
​
iv
Reply is partial or incomplete 
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v
Any other reason written below
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7. Any other information in support of appeal:
​


8. Prayer/relief sought for:
​


9. Personal Presence at hearing:
YES / NO / ONLINE
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Enclosures:
Photocopies of original RTI application with its enclosures, postal proof of mailing and delivery confirmation, acknowledgement of PIO, decision letter of PIO.
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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.
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Place: 
Date: 
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Signature of Appellant

Strike out whichever is not applicable
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Second Appeal

Last modified 1yr ago

	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

First Appeal

1. Details of Appellant:

2. Details of Central/State Public Information Officer:

3. Particulars of Payment of Fee:

4. Details of information sought under RTI Act:

5. Brief facts of the case leading to appeal:

​

6. Reasons/grounds for this appeal:

7. Any other information in support of appeal:

8. Prayer/relief sought for:

9. Personal Presence at hearing:

Enclosures:

Declaration: