RTI ApplicationForm
FORM A
SeeRule3(1) I.D.No..
(ForOffice Use Only)
To
ThePublicInformationOfficer/
Assistant Public Information Officer
1. Full Name of the Applicant : Raghav Gupta
2. Father Name/Spouse Name : Jitendra Gupta
3. Permanent Address : Plot-103, Sector-10, Gandhinagar
4. Correspondence Address : Plot-103, Sector-10, Gandhinagar
5. Particulars of the Information Solicited
a) SubjectMatterofInformation (*) : Information regarding farmers
suicide
b) Theperiodtowhichinformationrelates (**) :1 Year (2016)
c) SpecificDetails ofInformationrequired (***):
The information which is required is related to the condition of Gujarats farmers. We
want to know the number of suicide cases of farmers in the state and especially after
the harvest season. We also want to know whether subsidies were provided to the
farmers during the pre-harvest season by the government and if provided we want to
know at which rate the subsidies were provided. The information which is required
further is whether the compensation was provided to the family of the farmers and
after how much time.
d) Whether information is required by Post : By post
Orinperson (the actualpostal fees shallbe :
Included in additional fee improvising the information)
e) IncasebyPost (ordinary/registered : Ordinary Post
orspeedpost)
6.Is this informationnotmade available by
Public authority under voluntary disclosure? :
7.Do you agree to pay the required fee? : Yes
8. Haveyoudeposited applicationfee? : Yes
(IfYes, Details ofsuchdeposit) :
9. Whetherbelongs tobelowPovertyLine category? NA
(Ifyes,youfurnished the proofofthe same with
application?)
Place: Ahmedabad SignatureofApplicant
Date: 10/03/2017
(*)BroadCategoryofthe subjecttobe indicated (suchasgrantofgovernmentservice
matters/Licensesetc.)
(**)Relevantperiodforwhichinformationis requiredtobeindicated.
(***)Specific details ofthe informationare required tobeindicated.
Nameofthe DepartmentorPublic Authority
FORM B
[Seerule3(2)]
Acknowledgement
Office ofthe State Public InformationOfficer
Receivedthe applicationformfrom
Mr. /Ms:
Address :
:
:
Seekinginformationon (Subjecttobe specified) :
:
:
VideDiaryNo.:Dated:
Place
Date
FullNameofState Public InformationOfficer/
StateAssistantPublic InformationOfficer
DesignationandSeal