Right to Information Forms 2005 - High Court of Gujarat
Right to Information Forms 2005 - High Court of Gujarat
Right to Information Forms 2005 - High Court of Gujarat
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FORM FAppeal under Section 19 <strong>of</strong> the <strong>Right</strong> <strong>to</strong> <strong>Information</strong>Act, <strong>2005</strong>[rule 5(1)]I . D . No(For <strong>of</strong>ficial use)ToAppellate AuthorityAddress:1 Name <strong>of</strong> the Applicant2 Address3 Particulars <strong>of</strong> the authorised person(a) Name(b) Address4 Date <strong>of</strong> Submission <strong>of</strong> application in Form A5 Date on which 30 days from submission <strong>of</strong> Form A isover.6 Reasons for appeal(a) No response received in Form B, or C within thirty days <strong>of</strong>submission <strong>of</strong> Form A [5(1) (a)](b) Aggrieved by the response received withinprescribed period [5(l) (b)] [Copy <strong>of</strong> the reply receiptbe attached](c) Grounds for appeal7 Last date for filing the appeal. [See Rule 5(3)]8 Particulars <strong>of</strong> <strong>Information</strong>—(i) <strong>Information</strong> requested(ii) Subject(iii) Period2 [9 A fee <strong>of</strong> Rs.50/- for appeal has been deposited withthe authority vide Receipt No. ________ dated ________]PlaceDateSignature <strong>of</strong> AppellantE-mail Address, if any:Telephone No. (Office)(Residence)AcknowledgementI.D. No Dated2 [ ] Deleted vide <strong>High</strong> <strong>Court</strong> Notification No.C.3001/<strong>2005</strong>, dated09.11.2006
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