Application under Right to Information Act, 2005

To
Public Information Officer,
You can find the name of the Public Information Officer from the web site of the government body you are writing to

From
Full name of applicant:
Address of Applicant:

The particulars about information required:

1. Subject matter of information:
2. The period for which the information relates:
3. Description of information required:
4. Whether information is required by post or in person:
5. Whether the applicant is below poverty line:

Dated: