RTI Template for track record of FIL

RIGHT TO INFORMATION ACT 2005 APPLICATION

Date: 01 Jun 2009

To

Public Information Officer,

Address line 1

Address line 2

City, State.

 

1. Name of the Applicant: Mr.xxxxxxxxx

 

2. Address with Phone Number:

Address line 1

Address line 2

City, State.

Phone Number: xxxxxxxxxxxx

3. Particulars of the Information Required:

I would like to receive the following information about Mr.xxxxxxx S/o xxxxxxx, who is working / (was retired) as in BSNL, CITY and currently residing at RESDENTIAL ADDRESS, with copy of the documents.

1.      Date of joining on the services with BSNL.

2.      Pay Scale details with breakup.

3.      Details of promotions and departmental enquires on him.

4.      With reference to “BSNL CONDUCT, DISCIPLINE AND APPEAL RULES, 2006” guidelines, following information and documents’ copies are required:

1.      Rule No: 14 – Details of the gifts and articles from relatives and friends received on his daughter XXXXX’S MARRIAGE, as declared by Mr.xxxxxxxx to BSNL.

2.      Rule No: 16 – Declaration given by Mr.xxxxxxxx that he has not given dowry for his daughter’s marriage and the signed declaration from the parties that the dowry was not involved in the marriage.

3.      Copies of following Asset declaration forms period from 1990 – 2009.

a. Form-1 (Form for giving prior intimation or seeking previous sanction in respect of acquisition/ disposal of Immovable/Movable property) (Under Rule 21 of BSNL Conduct, Discipline and Appeal Rules, 2006)

b. Form-2 (Form of report/application for permission to the prescribed authority for the building of or addition to a house)

c. Form-3 (Form of report to the prescribed authority after completion of the building/extension of a house)

d. Form-4 (STATEMENT OF ANNUAL RETURN OF IMMOVABLE PROPERTY)

e. Form-5 (Valuation Report)

f. Form-6 (Form of application for permission to PSE executives to accept commercial employment within a period of two years after retirement)

g. Form–A1 (FORM TO BE FILLED BY BSNL EMPLOYEES ABOUT FAMILY DETAILS ON FIRST EMPLOYMET)

h. Form–A4 (STATEMENT OF MOVABLE PROPERTY ON FIRST APPOINTMENT)

i. Form–A5 (STATEMENT OF IMMOVABLE PROPERTY ON FIRST APPOINTMENT)

j. Form–A6 (STATEMENT OF LIQUID ASSETS ON FIRSTAPPOINTMENT)

k. Form–A8 (STATEMENT OF DEBTS AND OTHER LIABILITIES ON FIRST APPOINTMENT)

 

4. Details of payment of application fee:

Demand Draft for Rs.10/- favoring, Accounts Officer (C&A), HQ, BSNL, Chennai Telephones, attached.

 

Yours Faithfully,

 

 

 

(Applicant Name)