STAATSKOERANT, 9 MAART 2001

D.
(a)

No. 221 25

Particulars of record

Provide full particulars of the record to which access is requested including the
reference number if that is known to you, to enable the recordto be located.

(b)

I f the provided space is inadequateplease continue on a separate folio and attach

it to thisfonn. The requester must sign allthe additionalfolios.
L

1.

Description of record or relevant part of the record:

2.

Reference number, if available:

3.

Any further particulars of record:

E.

Fees

(a)

~

A requestfor access to a record, other than a record containing personal
information about yourself; will be processed only afer a request fee has been

paid.
(b)

You will be notijied of the amount required to be paid as the requestfee.

(c)

Thefee payablef o r access to a record depends .on theform in which access is
required andthe reasonable time required to search
for andprepare a record.

(d)

Ijfyou quallb for exemption of the payment of any fee, please state the reason
therefor.

Reason for exemption from payment of fees:
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‘I1

Select target paragraph3