Public Information Officers
(Name of the Department)
(Office)
(Place)
Sub: Application under the RTI Act, 2005
I am a resident of …………. Village. I have been given ………. Ration card, card number……….. My Ration Card shop number is …… and Kerosene oil depot number is ……….. in the register.
Provide the following information regarding the same:
1. Provide the details/factual account of the ration and kerosene oil issued on my ration card per month, according to your records with the following particulars:
- Month
- Amount of ration and kerosene oil issued
- Date of providing the ration and kerosene oil
- Amount paid for each of the above
- A photocopy of the receipt of the above mentioned amount.
2. Provide an attested copy of the following records of the ration shop and kerosene oil depot of the last six months:
- Master card Register
- Daily sale register
- Daily stock register
- Monthly stock register
- Assessment book
- Cash memo
3. How many complaints have been received against the above mentioned ration shop and the kerosene oil depot? Provide a list of such complaints with the following particulars:
- Name of the complainant
- Brief description of the complaint
- Date of complaint
- Description of the action taken on the complaint
- Name, designation and address of the officer who took action on the complaint
I am depositing the application fee (Rs. 10/-) separately/ I am a BPL card Holder, so, I am exempt from payment of fee. My BPL card no. ....................../
If you feel that above requested information does not pertain to your department then please follow the provisions of section 6(3) of the RTI Act, 2005. Also as per the provisions of the RTI Act, 2005 please provide the details (Name & Designation) of the first appellate authority w.r.t to your department with the reply to the above request. where I may if required, file my first appeal.
Thanking you,
Name:
Add.:
Phone No.:
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