Saturday, 12 December 2015

RTI Form for Gram Panchayat Works

To, The Public Information Officer, C/o District Magistrate (D.M), District – Gorakhpur - 273413 Uttar Pradesh

The Public Information Officer,
C/o District Magistrate (D.M),
District – Gorakhpur – 273413
Uttar Pradesh

Subject: Information required under the Right to Information Act 2005

Dear Sir,
Kindly provide me with the following information requested under the purview of the Right to Information Act, 2005.
Regarding -: Welfare work done for Gram Panchayat.
Kindly provide the following information related to welfare work done for
Gram Panchayat – JAGARNATH PUR, Block – KAURIRAM, District – GORAKHPUR, Uttar Pradesh
Particulars of information required : Please provide the certified copy of all the below information in my Email id as well as to below address.
  1. what is the name and serving period of Gram Pradhan/Sarpanch of Jagarnath Pur Gram Panchayat.
  2. Account number/bank name/account name of  Gram Pradhan where money has sent for welfare work.
  3. Amount deposited/cheque number with dates to Gram Pradhan account.
2. What is the total amount of funds/money allocated under various heads/schemes to JAGARNATH PUR Gram Panchayat during the year 2008-12?
3.  Provide the following details of works done by the above mentioned Gram Panchayat with following particulars for period of 2008 to 2012 :
a)    Name of Work/purpose for which the expenditure was incurred
b)    Brief description of the work/purpose
c)    Approved fund/amount for each and every work.
d)    Date of approval of work/purpose
e)    Position/ state of completion of each of the work or the ongoing work
f)    Name of the agency responsible for getting each of the work done
g)    Date of commencement of each work
h)    Date of completion of each work
i)     What is the rate at which the contract for work has been given?
j)     How much money has already been paid?
k)    An Attested copy of the sketch of the each work
l)     When and on which basis the decision for getting the work done was taken? provide a copy of the decision
j)     Provide the names of the Assistant Engineer and the super intending engineers who supervised the work and approved the payments. Which part of the work was supervised by him?
Period pertaining to information:  March 2008 till date.
Find the application fee for the request attached with this application (Indian Postal Order No. _________dated __________ is enclosed).
If you feel that above requested information does not pertain to your department then please follow the provisions of Section 6(3) of the RTI Act, 2005/Also as per the provisions of the RTI Act, 2005 please provide the details (Name and Designation) of the first appellate authority w.r.t to your department with the reply to the above request., where I may if required file my first appeal.
I do hereby declare that I am a citizen of India. Kindly provide me with the information at the address/email id mentioned with the application. I request you to ensure that the information is provided before the expiry of the 30 day period after you have received the application.
“I request to forward the application to designated official APIO/Public Information Officer”


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