Appeal under Section 7(1) of the Delhi Right to Information Act, 2001

(See rule 5(1)

I. D. No. _______________

(For official use)

To

The Secretary,

Public Grievances Commission,

Govt. of NCT of Delhi

M-Block, 2nd Floor, Vikas Bhawan,

I. P. Estate, New Delhi-110 002

1. Name of the Appellant :

2. Address :

3. Particulars of the Competent Authority: -

(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 {Rule 5(1)(a)}.

(b) Aggrieved by the response received within prescribed period {Rule 5(1)(b)}

(A copy of the reply receipt be attached)

(c) Grounds for appeal.

7. Last date for filing the appeal :

(please see Rule 5(3)

8. Particulars of information:-

(i). Information requested :

(ii). Subject :

(iii). Period :

A fee of Rs. 50/- for appeal has been deposited in P.G.C. vide receipt No. ____________ dated ________.

Place:

Date:

Signature of Applicant

E-mail address, if any: ..............................

Tel. No. (Office) : ....................................

(Res.) :.....................................

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Acknowledgement

I.D. No._________ Dated:...............

Received an application in Form-A from Shri/Ms.___________________________________________ R/o _________________________________________________________________________________ under Section 5(1) of the Delhi Right to Information Act, 2001.

Signature of Receipt Clerk

Public Grievances Commission

E-mail address, if any: ..............................

Tel. No. (Office) : ....................................