FORM C)
Appeal to the Appellate Authority in MIDHANI
(Under Section 19 of the Right to Information Act 2005)
Date: ...........................
To
Appellate Authority
Mishra Dhatu Nigam Limited
Kanchangbagh : PO
Hyderabad - 500 058
Dear Sir/Madam,
1 Date of submission of the request
(copy of the request to be attached) : .......................................
2. Registration No., if available with applicant : ....................................
3. Date of reply, if any, received from
Public Information Officer : ........................................
(Copy of the reply to be attached )
4. Particulars of Publ;ic Information Officer :
Name : ..............................................................................................
Address: ............................................................................................Phone No. ............................ E-mail :................................................
5 Brief facts leading to appeal (Please tick any one)
(a) No response received : .............
(b) Aggrieved by the response : .............
6. Reasons, if any, for appeal being filed after prescribed period of
30 days from date of receipt of reply from the above Public
Information Officer (in case of delay only)
...........................................................................................................
7. The relief sought: ..............................................................................
8. Copies of Documents relied upon by the applicant............................
9. Particulars of the applicant/appellant
(Signature of applicant)
Name.: ..........................................................
Address: ........................................................
.......................................................................
Phone No. .....................................................
E-mail : ................................................................
|
