FORM II
Appeal to the First Appellate Authority under section 9(1) of the Maharashtra Right to Public Services Act, 2015

Before: Additional Collector, [office address of the Additional Collector]

Name and address of the eligible person: [your full name and address]
Name and address of the Designated Officer: Sub-Divisional Officer / Deputy Collector, [office address]

1. Date of application: [date]
2. Date of acknowledgement: [date]  Application ID: [number]
3. Date of production of documents: [date]
4. Details of the public service required: Caste Certificate
5. Decision of the Designated Officer: [no decision / rejected on date]
6. Stipulated time limit: [21 days as listed in the Right to Services table on Aaple Sarkar, or 45 days as listed on the Aaple Sarkar caste certificate service page and in rule 5(11) of the Caste Certificate Rules, 2012]
7. Date on which the rejection was received: [date, or "not applicable"]
8. Grounds of appeal:
   (i) The service was not provided within the stipulated time limit. [keep this line or delete it]
   (ii) The application was rejected. The reasons given are not correct because [your reasons]. [keep this line or delete it]
9. Relief sought: Issue the Caste Certificate within the time you direct.
10. Any other information: [optional]

List of documents enclosed:
1. Copy of the acknowledgement of my application
2. [copy of the rejection order, if any]
3. [other documents]

Declaration: The particulars given above are true and correct to the best of my knowledge, information and belief.

Date: [date]
Place: [place]
Signature: [signature]