FORMAT OF APPLICATION FOR
SEEKING INFORMATION UNDER THE RIGHT TO INFORMATION ACT, 2005.
TO
THE CENTRAL PUBLIC INFORMATION OFFICER,
LOK SABHA SECRETARIAT,
PARLIAMENT HOUSE ANNEXE,
NEW DELHI-110001.
1.
Name of the Applicant:
2.
Address for correspondence with PIN number:
3.
Whether belonging to the Below Poverty Line Category:
YES/NO
(If
yes, please attach proof)
4.
Whether Citizen of India: YES/NO
5.
Information sought: -
[Specify particulars of information sought.]
6.
To the best of my knowledge, the information sought above pertains to Lok Sabha
Secretariat.
7.
Whether the Lok Sabha website www.loksabha.nic.in
has been visited by you?
(If so, whether the information desired
by you is not available on the website?) YES/NO.
8.
Whether application fee of Rs 10/- is being paid by cash (please enclose copy of
receipt) or Money Order or Demand Draft or Banker’s Cheque or Postal Order payable
in favour of the Drawing and Disbursing Officer, Lok Sabha in accordance with
the Lok Sabha Secretariat Right to Information (Regulation of Fees & Cost) Rules
2005? (No fee is required to be paid, if the applicant belongs to the Below Poverty
Line Category)
PLACE:
DATE:
(SIGNATURE OF THE APPLICANT)
Telephone Number: