Tranf. Appl. ID Applicant ID No.

__________
File No. - _________________
(For Official use)

Letter Ref. No.To,

The Central Public Information Officer,

Dated:

( Name & Address of the another Public Authority )

___________________________
___________________________
___________________________
PIN - ______________________
Sub:- Transfer of Application received under RTI-Act 2005
We are / I am forwarding herewith an application received under RTI Act, 2005 seeking
certain information which is concerning your Organization. The request has been received in
this office on ______________ (Date of Receipt) by Post / e-mail / in Person (Strike Out Whichever not
Applicable)
from Mr./Ms. ______________________ Son / Daughter / Wife of
_____________________ Resident of ____________________________________________
_____________________________________________________________.
To the best of my / our knowledge, the subject matter of the information requested by the
above applicant is related to your Organization / Department / Ministry ( Strike Out Whichever not
Applicable ) ______________________________________________________________
( name of concerned Public Authority )

The Information asked for pertains Wholly / Partly pertains to your organization
_______________________________. Therefore, as stipulated under RTI Act, 2005, I am / we
are enclosing the application to you for your information and necessary action. The required
information and / or an appropriate reply may be sent to the concerned applicant directly.
(Plz. Tick whichever applicable)

1. We hereby declare that we have received the RTI Fee amount of Rs. 10 /- ( Ten )
through CASH (Receipt enclosed) / Demand Draft / Bankers Cheque / Indian
Postal Order ( Strike Out Whichever not Applicable ) bearing Instrument no. - _______________
dated ___________.
2. We hereby declare that we have NOT received the RTI Fee amount of Rs. 10 /- from
the applicant.

Name & Signature of PIO

The Oriental Insurance Company Limited
Address - ________________________________________________________
________________________________________________________________
Tel. No.- __________________________ E-mail ID _____________________
CC To Applicant :
Mr./Ms. __________________________
Address _________________________________________________________
________________________________________________________________
Encl: As above