To: The Public Information Officer,
[PUBLIC AUTHORITY], [STATE]

Subject: Application under Section 6(1) of the Right to Information Act, 2005

Sir/Madam,

Under Section 6(1) of the RTI Act, 2005, kindly provide the following
information, as per records held by your public authority:

For the period 01-08-2025 to 31-07-2026:

1. An extract of the register/records of RTI applications received by
   your public authority, preferably giving, for each application
   (Format A):

   (a) date of receipt;
   (b) mode of receipt (online portal / post / in person), as recorded;
   (c) category of requester, as identifiable from the records, per the
       indicative list: individual; NGO/society/trust; company or firm;
       media; advocate; public servant; elected representative; other /
       not recorded;
   (d) broad subject of the information sought, as recorded, per the
       indicative list: service and personnel matters; welfare schemes
       and beneficiary lists; public works and procurement; finances
       and budgets; licenses, permits and certificates; land and
       property records; law and order; file notings and
       correspondence; follow-up of an earlier grievance or
       application; other;
   (e) whether the applicant claimed below-poverty-line (BPL) fee
       exemption under Section 7(5);
   (f) date of final reply/disposal, and whether the reply was made
       within 30 days of receipt;
   (g) disposition (information provided in full / in part / rejected /
       transferred / pending);
   (h) where rejected, the exemption clause(s) invoked (Sections
       8(1)(a) to 8(1)(j), 9, 11, 24, or other); and
   (i) where transferred under Section 6(3), the authority to which
       transferred.

2. If the register is not maintained at the application level, counts
   for the period by the categories above (Format B) are acceptable:
   applications received by month; by category of requester; by broad
   subject; disposed within 30 days; rejected, by exemption clause;
   and transferred.

3. Failing which, totals for the period as a whole (Format C) are
   acceptable: applications received; disposed within 30 days;
   rejected, by clause; transferred; pending.

4. A copy (scanned copy is acceptable) of the most recent annual RTI
   statement/return furnished by your public authority under Section 25
   of the Act, if held.

Information as available in the form actually maintained is acceptable;
no new compilation is requested. Names, addresses, and other personal
details of applicants are NOT sought and may be omitted or redacted.

Time limit: I request that the information be furnished within the
time limit prescribed under Section 7(1) of the Act. I may respectfully
point out that under Section 20, failure without reasonable cause to
furnish information within the prescribed time renders the Public
Information Officer liable to a penalty of Rs. 250 per day of delay,
up to Rs. 25,000.

Mode of supply: I request that the information be provided in electronic
form, as scanned PDF documents sent by email to [FILER EMAIL], in terms
of Sections 2(j)(iv) and 7(9) of the Act; this avoids photocopying and
postage costs on both sides. If supply by email is not feasible, kindly
send the information by post to my address below.

I am a citizen of India. The application fee of Rs. 10 has been paid;
proof is enclosed/submitted with this application. If this application
pertains to another public authority in whole or part, kindly transfer
it under Section 6(3) and inform me.

Name: [FILER NAME]
Address: [FILER POSTAL ADDRESS]
Email: [FILER EMAIL]
Date: [DATE OF FILING]