Application for obtaining information under the Right to
Information Act, 2005
To,
The State Public Information Officer,
Asst. Commissioner of Police,
Tardeo Division, Tardeo Police Station,
Mumbai.
1. Full Name of the applicant : Mrs. Aachal Pradeep Rane
2. Address :
3. Particulars of information required :
i) Subject matter of information * :
ii) The period to which the information relates #
iii) Description of the information required $ :
a)……………………………………………………………………………………………………
……………………………………………………………………………………………………..
b)…………………………………………………………………………………………………..
……………………………………………………………………………………………………..
c)…………………………………………………………………………………………………..
……………………………………………………………………………………………………..
d)…………………………………………………………………………………………………..
……………………………………………………………………………………………………..
e)…………………………………………………………………………………………………..
……………………………………………………………………………………………………..
iv) Whether information is required by post :
or in person
Place :
Date : Signature of the Applicant
* Broad category of the subject to be indicated (such as grant of Government
land/Service matters/Licenses, etc.)
# Relevant period for which information is required to be indicated.
$ Specific details of the information is required to be indicated.