Application for obtaining information under the Right to Information Act, 2005

To

The Public Information Officer, _________________ Bank, Head Office, address

Sub-application under RTI ACT 2005

1. Name of the Applicant: 2. Constitution: 3. Address of the applicant: 4. Telephone: Mobile/ e-mail ID: 5. Particulars of Information required: 6. Whether the prescribed fee* is paid? If yes, furnish details of payment with proof: PLEASE PROVIDE ME THE ABOVESAID QUERYS ANSWER AS EARLY AS POSSIBLE.

(Fee of Rs.10/- can be paid by DD/BPO/IPO favoring Public Information Officer

Indian Bank payable at Chennai or in cash in any of Branches of Indian Bank) *Applicants below the poverty line need not pay the fee.

Declaration by the Applicant I hereby declare that the information sought by me does not fall within the exemptions contained in Sec.8 of the Act, 2005 and to the best of my knowledge it pertains to your Bank. THANKING YOU.

Date:
Note: Please ensure that the form is complete in all respects and there is no ambiguity in providing the details of information required. All communication shall be sent only to the address/e-mail ID provided in this application

Signature of the Applicant