To: {{ public_information_officer or "The Public Information Officer" }}

Department: {{ department or "[Department Name]" }}

Office Address: {{ office_address or "[Office Address]" }}

Subject: Application for information under Right to Information Act, 2005

Sir/Madam,

I, {{ applicant_name or "[Your Full Name]" }}, a citizen of India, hereby request the following information under the Right to Information Act, 2005:

Purpose of Information:
{{ purpose or "[State the purpose for which you need this information]" }}

Period of Information:
From: {{ period_from or "[Start Date]" }} To: {{ period_to or "[End Date]" }}

Mode of receiving information:
☐ Inspection of records
☐ Certified copies
☐ Email: {{ email or "[Your Email]" }}
☐ Post to address mentioned below

Applicant Details:
Name: {{ applicant_name or "[Your Full Name]" }}
Address: {{ applicant_address or "[Your Complete Address]" }}
Phone: {{ phone or "[Your Phone Number]" }}
Email: {{ email or "[Your Email Address]" }}

I am enclosing herewith an application fee of Rs. {{ application_fee or "10" }}/- (Rupees {{ application_fee_words or "Ten" }} only) in the form of {{ fee_mode or "demand draft/cash" }}.

If the information sought is not available with your office, kindly transfer this application to the concerned office under intimation to me.

I request you to provide the information within the stipulated time limit of 30 days as prescribed under the RTI Act, 2005.

Enclosures:
1. Application fee of Rs. {{ application_fee or "10" }}/-
2. Copy of identity proof (if required)