NATIONAL FEDERATION OF STATE COOPERATIVE BANKS (NAFSCOB)

NAVI MUMBAI – 400 703

 

 

FORM – E

See Rule – 7(3)

 

Second Appeal under Section 19(3) of the Act

 

From:

(Applicant’s Name & Address)

 

To:

The Central Information Commission

 

1	Full name of the Appellant
2	Address
3	Particulars of the first Appellate Officer
4	Date of receipt of the order appealed against
5	Last date for filing the appeal
6	Particulars of information
	a) Nature of subject matter of the information required
	b) Name of the office or Department to which the information relates
7	The grounds for appeal (Details of items to be enclosed in separate sheet)

 

Verification

 

I, ………………………………… (name of the appellant, son /daughter of ………………………………    / wife of................................ hereby declare that the particulars furnished in the appeal are to the best of my knowledge and belief, true and correct and that I have not suppressed any material fact.

 

 

Signature of the Appellant

 

Place:

 

Date: