8/12/2019 Sample Rti Application for Delay in Lpg Refill
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APPLICATION UNDER SECTION-6 OF THE RIGHT
TO INFORMATION ACT, 2005
To
The Central Public Information Officer
.
Name & Address of Applicant:.
.
.
.
.Sir,
I am a citien of India and I see! follo"in# information interms
of Section$% of i#ht to Information Act, '(()
Particular !" i#"!r$ati!# !u%&t'
(1) Kindly supply me certified copy of Dealership Agreement
executed byand between Ms !!!!!!!!!!!!!!!!!("ndane#$%$ &Agency
name)' for distribution of "ndane#$%$ $ cylinders' including*erms +
,onditions as well as -er.ices and facilities re/uired to
bepro.ided by the Dealer to the consumers ,ustomers0
() Kindly supply me ist showing (a) ,onsumer 2o0' (b) Date of
%oo3ing'(c) Date of Deli.ery + (d) %ill,ash Memo number and date'
of allDomestic use "ndane#$%$ $ ,ylinders boo3ed and deli.ered
by
!!!!!!!!(Agency name)' from !!!!!!to!!!!!!!!00 (this period is
days before your date of boo3ing andone day after you recei.ed
deli.ery or actual date of filing 4*" Application'if refill is not
recei.ed)
(5) Kindly supply me date&wise /uantity (in number of
cylinders) of"ndane#$%$domestic use $ cylinders supplied by
"ndane#$%$ toMs !!!!!!!!!! (Agency name)' from !!!!!to !!!!!(this
period is days before your date of boo3ing and one day after
yourecei.ed deli.ery or actual date of filing 4*" Application' if
refill is notrecei.ed)
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8/12/2019 Sample Rti Application for Delay in Lpg Refill
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(6) Kindly supply me list showing date&wise #ome Deli.ery as
well as ,ash+ ,arry deli.ery of $ 4efill in respect of ,onsumerno0
000000000000000000000000000000 (your consumer no)with Ms
000000000000000000000 (2ameand Address of Agency) from 11715 to
!!!(date of filing 4*"Application)0
I am enclosin# IPO no. . for s.*(+$ in faour of
. -Indian Oil Corporation td+ /harat Petroleum Corporation
td
+ 0industan Petroleum Corporation td1to"ards APPICATION 233.
4indl5 suppl5 the information to me b5 e#istered Post or
Speed Post on m5 aboe address in terms of Section$6 of i#ht
to
Information Act, '(().
3ncl: IPO No.
7ours faithfull5,
Place :..
8ate : ..++.. Si#natureA((lica#t
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