Form - D

Ist Appeal under the J&K Right to Information Act, 2009

 I.D. No:___________                                                            Dated:____________
(For official use)

To,

           The Ist Appellate Authority
          ____________ Department

1.       Name of the Applicant:

2.       Address:

3.       Particulars of the Incharge of office:

          a. Name:

          b. Address:

4.       Date of submission of application in Form-A:

5.       Date on which 30 days from submission of Form A is over:

6.       Reasons for Appeal:

          a.       No response received in Form B, or C within

                   30 days of submission of Form A.     

b.       Aggrieved by the response received within prescribed Period.

(A copy of the reply received be attached)

c.       Grounds for appeal

7.       Last date for filing the appeal.

8.       Particulars of information required:

          Place:

          Dated:

                                                                   Signature of the applicant
                                                                   E-Mail Address, if any:
                                                                   Tel No:-

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Acknowledgement

I.D. No: ________________                                          Dated: _______

Received an appeal application from Shri/ Smt. _____________________R/O. _______________________under J&K RTI Act, 2009.

       Signature of Receipt Clerk
O/O the Ist Appellate Authority
   _______________Department
Tel No:___________________
 E-Mail:___________________