REQUEST FOR ACCESS TO RECORD OF PRIVATE BODY
(Section 53(1) of the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000))
[Regulation 41
A.
Particulars of private body
The Head:
B.
(a)
Particulars of personrequesting access tothe record
n e particulars of the person who requests access to the record must be recorded
beio w.
(b)
Furnish an address a d o rfanumber in the Republic to which information must
be sent.
(c)
proof of the capacity in which the request is made, ifapplicable, must be attached
Full names and surname:
Identity number: Postal address:
-
Fax number: __
Telephone number:
- E-mail address:
~
Capacity in which request is made, when made on behalf of another person: