| PROFORMA FOR ANNUAL REPORT TO CENTRAL INFORMATION COMMISSION |
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| CPIO : (name, designation and address) |
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First Appellate Authority : (name, designation and address) |
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| Quarterly Summary for CPIOs |
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| Quarterly Summary of Appellate Authorities for (public Authority) for quarter ending : June/Sept/Dec/March,
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Quarter-wise analysis of requests for Information rejected in (name of Public Authority) under RTI Act, 2005.
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