APPLICATION FORMAT
FOR INFORMATION UNDER RTI ACT – 2005
To
The Public Information Officer
Madurai Kamaraj University
Palkalai Nagar
Madurai – 625 021.
1. Full Name of the Applicant :
(in capital letter)
2. Father’s /Husband Name :
(in capital letter)
3. Complete Address :
Contact Nos. if, any
4. Particulars in respect of
Identity of the applicant
(enclose proof)
5. Whether belong to BPL
Category (if yes, please : Please tick) Yes No
Attach a copy of the BPL/
Antyodaya ration card to
claim waiver of the application fee)
6. Details of Application Fee :-
Application fee – Rs. 10/- must be accompanied in the RTI Application : by Demand
Draft/Indian Postal Order drawn in favour of “ The Registrar, Madurai Kamaraj
University” payable at Madurai or “ Court fee Stamp” affixed in the application
Demand Draft/Indain Postal Bearing No. Name of the issuing Amount
Order/Court fee statmp And Date Authority (Rs.)
7. Particulars of information required (please enclose separate sheet, if required, indicating
specific details of information required.)
DECLARATION
I state that the information sought does not fall within the restriction contained in Section 8 & 9
of the RTI Act and to the best of my knowledge it pertains to Madurai Kamaraj University.
Place:
Date: Signature of Applicant