RTI APPLICATION FORM

RTI ACT, 2005

To,
The Central Public information Officer
Central Research Institute
Kasauli, District: Solan
(H.P) -173204

Sir,

Subject :Request for Information under Right to Information Act 2005.

I, MITALI TAYAL daughter of MR. SUSHIL TAYAL

Resident of S-11 PREM NAGAR 2 DELHI 110086 telephone number (with STD Code) +91-
9868099032 :wish to seek information as under
seeking information for the roadblock on East end of MG Road New Delhi

Period for which the information sought. Is 2 months

I here by inform those following formalities have been completed by me:

1. That I have deposited the requisite fee of Rs.50/- by way of Cash

Date 28/09/2021

2. I need the photocopy of the documents and I had deposited the cost of the
photocopy of Rs.2 /-for 1(Number of Pages)

3. That I belong to Category of below Poverty Line(BPL):No

(Strike which ever is not applicable ) . If yes, I am attaching the valid photocopy of the
certificate. Yes/No

4. That I am ‘Citizen’ of India, and I am asking the information as ‘Citizen’.

5. I assure that I shall not allow/ cause to use/ pass/share/display/ or circulate the
information received in any case and under any circumstances , with any person ordinany
manner which would be detrimental to the Unity and Sovereignty or
Against the Interest of India.

Signature of the
Applicant :- MITALI
Dated:25/092021