To |
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The Assistant/Central/State Public
Information Officer,
PEC Ltd., |
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__________________________________,
__________________________________, |
Sir, |
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1. |
You are requested to provide me the following
information: |
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_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________ |
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2. |
I belong to Below Poverty Line Section of Society
and as such no fee is payable by me. |
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OR |
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I do not belong to Below Poverty
Line Section of Society and a fee of Rs.________
has
been deposited in cash with PEC cashier vide receipt
No.________ dated _________ ,
copy enclosed. |
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OR |
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I do not belong to Below Poverty Line Section
of Society and a fee of Rs.________ is
being rendered herewith vide DD No. _________ dated
__________ drawn on
_____________. |
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3. |
This to certify that I am a citizen of India. |
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Place :____________ |
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Date :_____________ |
Signature of Applicant :________________________ |
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Name of Applicant : __________________________ |
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Father / Husband Name: _______________________ |
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Tel. No. (Office) : ____________________________ |
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(Residence): ________________________________ |
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Postal Address : _____________________________ |
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_____________________________ |
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_____________________________ |
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e-mail: ____________________________________ |
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(Strike out whichever is not
applicable.) |
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APPLICATION FEE
DETAILS |
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1. |
Application fee : Rs. 10/- |
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2. |
Further fee towards cost of providing information: |
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(a) |
rupees two for each page (in A-4 or A-3
size paper) created or copied ; |
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(b) |
actual charge or cost price of a copy in
larger size paper; |
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(c) |
actual cost or price for samples or models;
and |
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(d) |
for inspection of records, no fee for the
first hour; and a fee of rupees five for each
fifteen minutes (or fraction thereof) thereafter. |
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(e) |
For information provided in diskette or
floppy, rupees fifty per diskette or floppy;
and |
(f) |
For information provided in printed form
at the price fixed for such publication or
rupees two per page of photocopy for extracts
from the publication. |
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3. |
Mode of Payment |
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The total amount of fee payable while seeking
information under the Right to Information Act may
be paid in cash with the PEC cashier or in the form
of demand draft or bankers cheque in favour of “PEC
Ltd.” payable at the station at which the
request is made. |
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