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
10KB
Binary
DOCX
First Appeal.pdf
83KB
PDF
PDF
Copy link
On this page