The Public Information Officer
Name of the Public Authority
Sub: Request for information under Section-6(1) of RTI Act.
I retired from your organisation as ……….. on superannuation. I am entitled to receive pension. I have submitted necessary pension papers along with all relevant documents, including pension bank account in the month of ……………… However, pension is not yet sanctioned in my case. Therefore, I seek following information under Right to Information Act with respect to my pending pension case.
My pension application details:
Full Name :
Staff No./PF No.:
Date of Superannuation :
Unit from which retired:
Office where pension papers submitted:
Details of information sought:
 please supply me certified copy of Note sheet indicating notings by various officials and decision of competent authority on my pension application dated ……………
 please supply me certified copies of all file notings and decisions thereon indicating reasons for not granting pension till date.
 please supply me certified copies of all correspondence with Finance / Accounts department with respect to my pension case.
 Please supply me certified copy of assessment sheet indicating my qualified service entitled for pension.
 Please supply me certified copy of assessment sheet indicating my non-qualified service, not entitled for pension.
 please supply me certified copy of Citizens' Charter of your public authority indicating the time frame by which my Pension Pay Order (PPO) shall be issued to me, superannuated on __.
 please supply me certified copy of instructions and guidelines indicating normal period within which the employer department is required to sanction pension, after superannuation of an employee.
 Please inform me the date by which my pension was required to be settled in accordance with the instructions and guidelines in vogue.
 Please inform me the amount of pensionary benefits such as commutation value, gratuity, leave salary, Group Insurance, monthly pension and such other benefits due and payable to me.
 please inform me the names, designations and office address of staff responsible for dealing with my pension sanction case from date of superannuation to till this date.
 List of officer(s) and staff, with designation and office address, whose assistance sought by PIO in terms of Sec-5(4) of RTI Act, in supplying information with respect to this RTI Application.
Application Fee of Rs….. is remitted by Challan and copy attached
OR paste Court Fee Stamp
OR I am attaching IPO for Rs.10/- payable to the Accounts Officer, ………… payable at ……… towards RTI Application Fee.
Please send the information to my below address by Registered post.
Please check the mode of payment of RTI Application Fee and Application Format (if any) from Central/State RTI Rules applicable to the public authority.