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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