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])

C: Information required

I live at the following address:

Please provide the following information with respect to the sanitary conditions of the beat in which my house falls:

1. Please provide the list of all the sweepers and sanitation officials with their addresses and contact nos working in this beat.

2. Please provide copy of attendance register for this beat for the month of _________

3. Please provide copy of muster roll for this beat for the month of _________________

4. Please mention against each sweeper, his geographical and functional job responsibilities, for instance, which streets 5. is a particular sweeper supposed to be working everyday and what is he supposed to be doing in those streets.

6. Please provide the names, addresses of offices and their contact nos of the supervisory officials of the above sweepers in this beat right up to the Sanitary Superintendent.

Place: Bangalore                    

Date: 20-12-2005                                                          Signature of applicant

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