1st Appeal under the Right to Information Act, 2005 I.D. No......... (For official use) To, 1st Appellate Authority (provide name of person if possible) Address of govt. dept. 1. Name of the applicant 2. Address 3. Date of submission of application 4. Date on which thirty days from submission of application is over 5. Reasons for appeal(Choose applicable) No response received within thirty days of submission of application Not satisfied by the response received within prescribed period (attach copy of the reply received) Grounds of appeal 6. Last date for filing the appeal 7. Particulars of information- Information requested Subject Period 8. Appeal fee details Place.................... Date......................... Signature of Appellant