FORM ‘E’
Second Appeal under section 19 (3) of the Act
From
(Applicant’s Name & Address)
To,
The Mizoram Information Commission
- Full Name of the Appellant :
- Address with contact Nos. :
- Particulars of the First Appellate Authority :
- Date of receipt of the order appealed against :
- Last date of filing the appeal :
- Particulars of information.
- Nature and subject matter of the :
Information required
- Name of the Office or Department to :
which the information relates
- The grounds for appeal
(Details if any to be enclosed in separate sheet)
Verification
I ………………………….. (Name of the appellant), son of/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.
Place: Signature of the appellant
Date:
