| Appendix 'J' |
COMPLAINT UNDER SECTION 18(1) OF
THE RIGHT TO INFORMATION ACT, 2005
| To | ||||
| The Secretary | ||||
| Central/State Information Commission | ||||
|
……………………………….. |
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|
……………………………….. |
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| 1. | Name of the Complainant | : | ………………….. | |
| 2. | Address | : | …………………… | |
| 3. | Particulars of the Central/StatePublic Information Officer/PublicAuthority, complained against | |||
| (a) | Name | : | …………………… | |
| (b) | Address | : | …………………… | |
| 4. | Date of submission of application for seeking information | : | ……………………. | |
| 5. | Date of order, if any, of Central/State Public Information Officer Allowing/rejecting the application | : | ……………………. | |
| 6. | Statement of facts (such as particulars of information requested, fee ordered to be paid etc.) | : | ……………………. | |
| 7. | Nature of complaint | : | ||
*(a) The Public authority has failed to designate a Public Information Officer,
*(b) The Public Information Officer/Assistant Public Information Officer has refused to accept the complainant's application for information or appeal,
*(c) The complainant has been refused access to any information requested by him,
*(d) The complainant has not been given a response to a request for information or aces to information within the specified time-limits (deemed refusal),
*(e) The complainant has been required to pay unreasonable fee,
*(f) The complainant believes that the information given to him is incomplete, misleading or false.
(g) Any other matter (please specify)………………………..
8. Reasons or any other facts in support of the complainant.
|
Signature of Complainant |
|
| E-mail address, if any: …………… | |
|
Place:…………………………. |
Tel. No. (Office):………………. |
| Date:…………………………. | (Residence) :……………………… |
*Strike out which is not applicable.