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Email : info@info.com,
College Code: 3003, AISHE/DISE CODE: KAC04730
Mon - Sat : 09:00 am - 05:30 pm
CONTACT INFO
| Name | PhNo | Designation |
|---|---|---|
| PRINCIPAL | 99483548568 | INFORMATION OFFICER |
| Dr.H.L MALLESH GOWDA | 94487793177 | ASST.INFORMATION OFFICER |
Information Officer Will Receive Appeals, Under The ACT RTI 2015
| SAMPLE RTI APPLICATION FORM |
| To, |
| The Public Information Officer |
| ______________________________ |
| ______________________________ |
| PIN:__________________________ |
| Sir, |
| Subject: Request for information under Right to Information Act 2005. |
| I Sri / Smt / Ms. |
| __________________________________________________________________________ |
| Son/Daughter/Wife of Shri/Smt/Ms. |
| __________________________________________________________________________ |
| resident of |
| __________________________________________________________________________ |
| telephone number (with STD Code)_____ - ____________________ and/mobile |
| -------------------------------------------------------------------------------------------------------------------------------- |
| -------------------------------------------------------------------------------------------------------------------------------- |
| -------------------------------------------------------------------------------------------------------------------------------- |
| -------------------------------------------------------------------------------------------------------------------------------- |
| I hereby inform that following formalities have been completed by me: |
| 1. That I have deposited the requisite fee of Rs.______ /- by way of Cash/Banker |
| cheque/Draft/Postal Order/ others____________________ ) favoring |
| _______________________________________ dated ___________________________. |
| 2. I need the photocopy of the documents and I had deposited the cost of the |
| photocopy of Rs.______ /- for the charges of CD. (strike out which ever is not applicable) |
| or |
| 3. I had deposited sum of Rs.______ /- for the charges of CD. (strike out which ever is not |
| applicable) |
| 4. That I belong to Category of below Poverty Line (BPL): Yes/No |
| (Strike whichever is not applicable). If yes, I am attaching the valid photocopy of the |
| certificate. Yes / No |
| 5. That I am 'Citizen' of India and I am asking the information as 'Citizen'. |
| 6. I assure that I shall not allow/cause to use/pass/share/display/or circulate the |
| information received in any case and under any circumstances, with any person or in any manner which would |
| be detrimental to the Unity and Sovereignty or against the against the Interest of India. |
| Signature of the Applicant, |
| Dated: |