STAATSKOERANT, 9 IUAART 2001
If record is held on computer or in an electronic or machine-readable form .
4.
.
NO.22125
printed copy of record*
-
printed copy of
copy in computer
information derived
readable form*
from the record*
(stiffy or compact
i
*If you requested a copy or transcription of a record (above), do you
disc)
YES
NO
wish the copy or transcription to be posted to you?
A postal fee is payable.
Note that$the record is not available in the languageyou prefer, access may be granted
in the language in which the recordis available.
In which language would you prefer the record?
.-
- --
:1
G.
Notice of decisionregardingrequestforaccess
to be informed thereof in another manner, please spec@ the manner and provide the
How would you prefer to be informed of the decision regarding your request for access to the
record?
Signed at
-_.-
- this __day of
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20
-.
SIGNATURE OF REQUESTER / PERSON ON
WHOSE E3EHALF REQUEST IS MADE
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