DRAFT — NOT SUBMITTED. This is not an official form; it can be used as an attachment to the applicable official application form.
Prepared: 2026-10-06
Case: pbs-line-1302080

To
Designated Information Officer
Thakurgaon Palli Bidyut Samity, Thakurgaon
Attention: AGM (Member Services), subject to current designation confirmation

Subject: Request for copies of existing disclosable records — Thakurgaon PBS electric-line maintenance

Applicant name: [complete yourself]
Parent name(s), if required by official form: [complete yourself]
Postal address: [complete yourself]
Reply method/contact: [complete yourself]
Submission date: [complete yourself]

Under the applicable Right to Information process, I request copies of the following existing disclosable records. This request is not an allegation of wrongdoing or corruption.

Identifiers and scope: One contract: tender 1302080; package W.25-26.026.24; work order reference Maintenance Work (100-41), 18 June 2026. Source-declared location: Thakurgaon PBS HQ.
Period: Records for this package from its initial approval through 6 October 2026; show fiscal years separately, including FY2025–26 and FY2026–27 where applicable.

Records requested:
1. Approved work scope, estimate, funding approval and allocation/release orders, with funding source and dates.
2. Award notice, signed contract, priced bill of quantities, approved variations and time extensions; identify the current authorised value.
3. Relevant measurement-book extracts and certified running/final bills with bill numbers, dates and measured quantities.
4. Payment register/vouchers and executed-payment confirmation: date, public recipient name, reference, gross bill, net paid, tax/VAT, retention, advance recovery and any reversals, separately. A bill approval or payment instruction alone is insufficient.
5. Recorded unpaid certified bills, outstanding advances/retention and the final account, if prepared; distinguish an incomplete register from an explicit nil return.
6. Site location/chainage, inspection and test reports, dated completion/acceptance/handover certificates and recorded defect corrections, if issued. If work is unfinished, provide the latest dated status record.
7. Provide the recorded basis and account/fund code for Own Fund, and the maintenance locations/asset identifiers. No consumer account details are requested.

Format and redaction:
Please provide existing signed/certified PDFs or scans and, if already available, searchable CSV/XLSX; retain document titles, dates, page/row references and units. Mask private bank numbers, national IDs, home addresses and sensitive beneficiary details. Retain disclosable organisation names, amounts, dates and non-sensitive references where possible.
If a part cannot be disclosed, identify the specific reason/applicable basis and provide the remaining disclosable portions. If a record is not held by your office, please identify its holder or the next procedure. An absent document will not be treated as zero expenditure or a refusal. Please advise any applicable copying fee and payment procedure first.

Signature: [complete yourself]

Preparation notes for applicant (review before submission):
The official information-officer page, updated 28 July 2026, identifies AGM (Member Services) but leaves the name blank. Confirm the current designated officer through the office before submitting.
No application has been sent and no acknowledgement or response is recorded. After submission, keep the acknowledgement and date privately; do not publish the completed applicant details.
সরকারি আবেদন ফরম / Official forms: https://rtitracking.infocom.gov.bd/bn/show-rti-forms
প্রকাশিত আবেদন নির্দেশনা / Official guidance: https://infocom.gov.bd/pages/static-pages/6922e146933eb65569e2b401

Relevant published sources:
- e-GP award: tender 1302080: https://eprocure.gov.bd/resources/common/ViewAwardedContracts.jsp?pkgLotId=1962248&tenderid=1302080
- PBS designated information-officer route: https://pbs.thakurgaon.gov.bd/pages/static-pages/697759f6c4774958d7c1e667