(803)
Haryana Government Gazette
EXTRAORDINARY
Published by Authority
© Govt. of Haryana
No. 61-2021/Ext.] CHANDIGARH, MONDAY, APRIL 12, 2021 (CHAITRA 22, 1942 SAKA)
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(v)
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804
HARYANA GOVT. GAZ. (EXTRA.), APR. 12, 2021 (CHTR. 22, 1942 SAKA)
*
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HARYANA GOVERNMENT
ADMINISTRATIVE REFORMS DEPARTMENT
Notification
The 12th April, 2021
No. 05/52/2016-1AR.— In exercise of the power conferred by Sub-section (1) read with Sub-section (2) of
Section 27 of the Right to Information Act, 2005 (Central Act 22 of 2005), the Governor of Haryana hereby makes
the following rules further to amend the Haryana Right to Information Rules, 2009, namely :-
1.
These rules may be called the Haryana Right to Information (Amendment) Rules, 2021.
2.
In the Haryana Right to Information Rules, 2009, for Model Form ‘A’, the following Model Form shall be
substituted, namely :-
“MODEL FORM ‘A’
[see rule 3(1)]
To
State Public Information Officer/
State Assistant Public Information Officer,
------------(Name of the office with address)
(1)
Full Name of the applicant :
(2)
Address alongwith following ID :
(Aadhar Card, Passport, Voter Card, Pan Card, PPP ID, Government issued Identity Card)
(3)
Particulars of information required—
(i)
Subject matter of information*
(ii)
The period to which the information relates**
(iii)
Description of the information required***
(iv)
Whether information is required by post or in person (the actual postal charges shall be include in
additional fee)
(v)
In case by post (Ordinary, Registered or Speed post)
Place :
Date :
Signature of the applicant
HARYANA GOVT. GAZ. (EXTRA.), APR. 12, 2021 (CHTR. 22, 1942 SAKA)
805
*
Broad category of the subject to be indicated
(such as grant/Government land/Service matters/Licenses etc.)
**
Relevant period for which information is required to be indicated.
***
Specific details of the information are required to be indicated.
ACKNOWLEDGEMENT
Received your application dated ………………………. vide diary No. …………… dated …………………
Signature of State Public Information Officer/
State Assistant Public Information Officer
(Name of the Department/Office)……….”.
VIJAI VARDHAN,
Chief Secretary to Government Haryana.
9147—C.S.—H.G.P., Pkl.