Sakshi Trust "RTI"

To

Public Information officer

Department

City

State

Form A requesting under section 6(1) of the

Right to Information Act 2005

A. Full Name of Applicant:                             

B. Address                                                        (fill any address from where you would like to correspond with Public Information officer [PIO])

I had made an application for the following reason (copy of application is attached) but no satisfactory action has been taken on my application so far.

Please provide the following information with respect to the same:

1. Please provide the daily progress made on my application.

2. Please give the names and designations of the officials with whom my application was lying during this period.

 3. Please intimate the periods when it was lying with which officer and what was the action taken by that official during that period.

 4. Please give the proof of receipt and dispatch of my application in the office of each of these officials. 

 5. According to your rules or citizens’ charter or any other order, in how many days should such a matter be dealt with and resolved. Please provide a copy of these rules.

6.  The above officials have not adhered to the time limit mentioned in these rules. Are these officials guilty of violating these rules and hence guilty of misconduct under their conduct rules. Please give a copy of their conduct rule, which they have violated by violating the above-mentioned rule.

7.  These officials have caused serious mental injury to me by making me run around all this while. Are these officials guilty of causing mental harassment to the public?

 8. What action can be taken against these officials for violating all the above rules and for causing mental agony to the public? By when this action be taken?

By when will my problem be resolved now?

Place: Bangalore                    

Date: 20-12-2005                                                                                                Signature of applicant

I have paid an application fee of Rs.XXX  vide IPO / Challan/ DD no: