MANUAL IN TERMS OF SECTION 14

Similar documents
ALBERTON AND JOHANNESBURG SOUTH BUSINESS FORUM (NPC) REGISTRATION NUMBER (2016/206547/08) ( AJSBF )

PROMOTION OF ACCESS TO INFORMATION ACT MANUAL In terms of section 14 of the Access to Information Act No 2 of 2000 FOR (Bitou River Lodge)

TWO-A-DAY PROMOTION OF ACCESS TO INFORMATION ACT MANUAL

3. Records Available in Terms of any other Legislation [Section 51(1)(d)]

PROMOTION OF ACCESS TO INFORMATION

ACCESS REQUEST FORM. (Section 53(1)(e) of the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000)) [Regulation 10]

PRESCRIBED FORM TO BE COMPLETED BY A REQUESTER FORM C REQUEST FOR ACCESS TO RECORDS OF PRIVATE BODY

Cito Consult (Pty)Ltd Registration Number: 2009/014313/07. Manual in Terms of Section 51 of the Promotion of Access to Information Act, 2000

ACCESS TO INFORMATION MANUAL. SASOL INZALO PUBLIC (RF) LIMITED (an investment holding company)

The Twelve Apostles Hotel (Pty) Ltd (Registration Number 1998/003762/07)

("KNOWLEDGE BASE SALES") MANUAL PREPARED IN ACCORDANCE WITH SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT, ACT NO. 2 OF 2000 ("THE ACT")

The National Parks Trust of South Africa

A.W.R. Smith Process Instrumentation cc. Section 51 Manual

ETUDE COMPLIANCE SERVICES (PTY) LTD

PROMOTION OF ACCESS TO INFORMATION ACT SECTION 51 MANUAL FOR OSIRIS TRADING (PTY) LTD REGISTRATION NUMBER 1999/005636/07

PROMOTION OF ACCESS TO INFORMATION ACT (ACT 2 OF 2000) SECTION 51 MANUAL FOR Martin Malan Makelaars (PTY) LTD 2013/097842/07

PROMOTION OF ACCESS TO INFORMATION ACT MANUAL

TANDA TULA (PTY) LTD (REGISTRATION NO: 2012/087535/07) MANUAL IN TERMS OF SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT (Act 2 of 2000)

SECTION 51 MANUAL FOR Vartrust Property Brokers ( )

SUIKERKOP LUGHAWE (PTY) LTD t/a EASTGATE AIRPORT

PROMOTION OF ACCESS TO INFORMATION M A N U A L

CLIENTÈLE LIMITED AND ALL ITS SUBSIDIARIES

PROMOTION OF ACCESS TO INFORMATION MANUAL

MWEB a Division of INTERNET SOLUTIONS DIGITAL PROPRIETARY LIMITED. (Registration number: 2000/021413/07)

As required by Section 51 of the Promotion to Access of Information Act No 2 of 2000

SECTION 51 MANUAL FOR African heating GMP ( )

SECTION 51 MANUAL PROMOTION OF ACCESS TO INFORMATION ACT 2 OF 2000

THE PROMOTION OF ACCESS TO INFORMATION ACT, SECTION 51 - MANUAL FOR PEC UTILITY MANAGEMENT PTY LTD

PROMOTION OF ACCESS TO INFORMATION ACT NO 2 OF 2002

SMG Auto (Cape Town) (Proprietary) Limited is a motor vehicle dealership company.

Rainbow Paper Management (Pty) Ltd 1986/003229/07

The Franchise Association of South Africa. Promotion of Access to Information Act Manuel

BDO Corporate Finance (PTY) LTD

TSOGO SUN HOLDINGS LIMITED (and its subsidiaries)

The Manual is prepared in accordance with Section 51 of the Promotion of Access to Information Act, No.2 of 2000.

Promotion Of Access To Information Act

Associated Energy Services (Pty) Ltd

SECTION 51 MANUAL FOR CITY LODGE GROUP

FREETHINKING BUSINESS CONSULTANTS (PTY) LIMITED MANUAL PREPARED IN TERMS OF SECTION 51

RAILWAY CORPORATE STRATEGY CC

Westville, 3635, KwaZulu Natal

LAW SOCIETY OF SOUTH AFRICA (LSSA) Manual prepared in accordance with Section 51 of The Promotion of Access to Information Act 2/2000 ( the Act )

AMBER VALLEY BODY CORPORATE

Registration Number 1994/000272/23 PLATINUM BLACK CC MANUAL. in terms of. Section 51 of. The Promotion of Access to Information Act 2/2000

MANUAL V & A WATERFRONT HOLDINGS (PTY) LTD

MINERALS OPERATIONS EXECUTIVE (PTY) LTD

FRONTIER ASSET MANAGEMENT AND INVESTMENTS (PTY) LIMITED ( Frontier )

MULTICHOICE SOUTH AFRICA HOLDINGS (PTY) LTD (Registration number: 2006/015293/07) and various of its subsidiaries ("MultiChoice")

Reg. No. 2007/014591/07

A. INTRODUCTION TO METONYMY (PROPRIETARY) LTD t/a TRACEPS B. PARTICULARS IN TERMS OF THE SECTION 51 MANUAL

OTEL COMMUNICATIONS REGISTRATION NUMBER : 2015/034240/07 SECTION 14 MANUAL:

PROMOTION OF ACCESS TO INFORMATION MANUAL FOR BANDAG SOUTHERN AFRICA (PTY) LTD

Promotion of Access to Information Act

Kapara Insurance Brokers (Pty) Ltd

CARTRACK HOLDINGS LIMITED (Registration number: 2005/036316/06) PROMOTION OF ACCESS TO INFORMATION MANUAL

MANUAL IN TERMS OF SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT, 2000 FOR HONDA MOTOR SOUTHERN AFRICA PROPRIETARY LIMITED, REGISTRATION

INFORMATION MANUAL. FirstRand Limited

(Registration Number: 1998/11796/07) Access to Information Manual

John Deere (Pty) Ltd PAIA MANUAL Section 51 of the Promotion of Access to Information Act No.2 of 2000

MANUAL PREPARED IN ACCORDANCE WITH SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT, NO. 2 OF 2000 FOR

Nuclear Consultants International (Pty) Ltd

MIRFIN VALUATION SERVICES (PTY) LTD MANUAL IN TERMS OF SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT

Larsen and Toubro T&D SA Proprietary Limited. Registration number: 2010/018159/07

The Information Manual for Bryte Insurance Company Limited

Hadeda Body Corporate ( body corporate ) INFORMATION MANUAL

MANUAL IN TERMS OF SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT. ACT No. 2 OF (the "Act") MATRIX FUND MANAGERS (PTY) LTD

G-STAR RAW SOUTH AFRICA (PROPRIETARY) LIMITED MANUAL PREPARED IN ACCORDANCE WITH SECTION 51 OF

PROMOTION OF ACCESS TO INFORMATION ACT SECTION 51 MANUAL FOR MASSDISCOUNTERS T/A GAME AND DION WIRED

KOSE-KOSE INVESTMENTS LTD

Promotion of Access to Information Act. Section 51 Manual. For. FREE 4 ALL (Pty) Ltd

Smith Tabata Buchanan Boyes Inc

PAIA MANUAL: SA UNDERWRITING AGENCIES (PTY) LTD. SA UNDERWRITING AGENCIES (PTY) LTD (Registration No: 1992/03324/07) Hereafter referred to as SAU

2014/098567/07 SEED ANALYTICS (PROPRIETARY) LIMITED MANUAL. in terms of. Section 51 of. The Promotion of Access to Information Act.

VASTech SA PROPRIETARY LIMITED PAIA INFORMATION MANUAL

ACCESSING OUR INFORMATION

Registration Number of Company: 2005/006023/07. NAME OF COMPANY: FPG Consultancy (PTY) Ltd T/A FIRST POINT GROUP MANUAL. in terms of.

NASPERS LIMITED. (Registration number: 1925/001431/06) and various of its subsidiaries ("NASPERS")

MANUAL HUDACO INDUSTRIES LIMITED REGISTRATION NUMBER 1985/004617/06) ( HUDACO ) in terms of

GILBARCO AFS (PTY) LTD

Promotion to Access Information Act. SIKA South Africa

CLINIX HEALTH GROUP LIMITED GROUP OF COMPANIES MANUAL IN TERMS OF THE PROMOTION OF ACCESS TO INFORMATION ACT, NO 2 OF 2000

THE PROMOTION OF ACCESS TO INFORMATION ACT

SECTION 51 OF PROMOTION OF ACCESS TO INFORMATION ACT 2 OF 2000 MANUAL FOR:

PROMOTION OF ACCESS TO INFORMATION ACT MANUAL

DEPARTMENT OF WATER AND SANITATION NO JULY 2017

SECTION 51 MANUAL FOR NATAL CABLE & SOUND TECHNOLOGY CC

KAPAMA GAME RESERVE (PTY) LTD. Manual prepared in accordance with section 51 of The Promotion of Access to Information Act 2 of 2000 ( the Act )

SPILLPRO SOUTH AFRICA (PTY) LTD

Published in terms of Section 51of the Promotion of Access to Information Act, 2 of 2000

Registration Number: MANUAL FOR DL PROMOTIONS CC. in terms of. Section 51 of. The Promotion of Access to Information Act. No. 2 of 2000.

Title : Promotion of Access to Information Manual

PROMOTION OF ACCESS TO INFORMATION (PAIA) ACT, 2000 (ACT NUMBER 2 OF 2000) SECTION 51 MANUAL FOR KAIZER CHIEFS (PTY) LIMITED

IN TERMS OF SECTION 51 OF THE PROMOTION OF ACCESS TO INFORMATION ACT 2 OF 2002 PAIA

Unitrans Motor Enterprises (Pty) Ltd Registration Number: 1989/000813/07

Smartcall Technology Solutions (Pty) Limited. Access to Information Manual

Unitrans Motors (Pty) Ltd Registration Number: 1945/019848/07. Unitrans Automotive (Pty) Ltd Registration Number: 1997/009861/07

INFORMATION MANUAL FOR PIONEER FOODS (PROPRIETARY) LIMITED. Prepared in accordance with section 51 of the Promotion of Access to Information Act

REQUEST FOR PROPOSALS

PAIA MANUAL FOR: M-TEK (Pty.) Ltd.

ACCESS TO INFORMATION MANUAL (PRIVATE BODY)

Transcription:

Your partner in development MANUAL IN TERMS OF SECTION 14 PROMOTION OF ACCESS TO INFORMATION ACT 2 of 2000

2 1. Foreword The Promotion of Access to Information Act (PAIA) Manual was prepared as required in terms of Section 51 of the Promotion of Access to Information Act No.2 of 2000. PAIA (No.2 of 2000) has been formulated to ensure a culture of transparency and accountability in public and private bodies by giving effect to the right of access to information as entrenched in the constitution. Section 32(1) of the Constitution of South Africa Act 108 of 1996, states that everyone has a right to access of records/ information held by the state or its entities that is required for the exercise or protection of any right. For this reason, the Independent Development Trust (IDT) undertakes to subscribe to the principles of good governance, accountability and transparency on an on-going basis as enshrined in the Constitution of South Africa. The IDT is committed to and guided by the operating values of being people centred including integrity, professionalism, accountability and Innovation. IDT continuously attempts to ensure that it s reporting and disclosure of information to its stakeholders is relevant, clear and effective. Accessing the Manual This manual can be accessed on our website @ www.idt.org.za or by requesting a copy by e-mail from the office Information Officer. Mr CJB Pakade Chief Executive Officer: Independent Development Trust

3 TABLE OF CONTENTS PAGE 1. Introduction 4 2. The IDT Background 4 3. Vision and Mission 5 4. Structure of the IDT 5 5. Contact Details 6 6. Processes and Procedures 10 7. Records that maybe requested 10 8. Request procedures 10 09. Grounds for Refusal 12 10. Records available in terms of this legislation 12 11. Prescribed Fees in respect of Public Bodies 16 12. Forms 17

4 1. INTRODUCTION The promotion of Access to Information Act, No 2 of 2000 was enacted on 3 February 2000, giving effect to the constitutional right of access to any information held by the State and any information that is held by another person that is required for the exercise or protection of any rights. Where a request is made in terms of the Act, the body to which the request is made is obliged to release the information, except where the Act expressly provides that the information may or must not be released. The Act sets out procedural issues attached to such request. The Independent Development Trust, as a public body would like to inform the public of their rights and promote a culture of openness with regards to access to information held by the organisation. This is to give effect to the constitutional right of access to any information held by the state and its organs for the exercise or protection of a right. 2. THE INDEPENDENT DEVELOPMENT TRUST BACKGROUND The Independent Development Trust (IDT) is a schedule 2 Public Entity governed by its deed of Trust, the Public Finance Management Act (No.1 of 1999) and relevant legislative frameworks. The principal purpose of the IDT is to operate as an anti-poverty and redistributive agency, which invests in finding new ways of meeting the core challenges of poverty and inequality and expends its capital base in the pursuit of workable strategies and programmes that can be shared and replicated. In partnership with government, the IDT believes that through the integrated suite of service offerings it is able to offer the country a distinctive service. Presently the IDT has 5 core business areas which are offered as an integrated suite of services and products: Development Programme Management Leveraging/Harnessing Resources Institutional Delivery and Capacity Building Knowledge Management Social Facilitation

5 VISION AND MISSION Vision of the IDT To be the leading public sector developmental programme implementation and management agency. Mission of the IDT The IDT, manages and delivers integrated quality Social Infrastructure Programmes on behalf of government on time, cost effectively and through a people centred approach. 4. STRUCTURE OF THE IDT Executive Authority Dept. of Public Works Board of Trustees CEO EXCO STAFF

6 5. CONTACT DETAILS Information Officer: CBJ Pakade Physical Address: Glenwood Office Park Cnr. Oberon & Sprite Streets Faerie Glen 0043 Postal Address P O Box 73000 Lynwood Ridge 0040 Telephone: (012) 845 2061/ (012) 845 2157 E-mail address: maggiem@idt.org.za /duduzilem@idt.org.za Deputy Information Officers : 012-845 2000 1. Mzolisi Fukula :( Office of the CEO): mzolisif@idt.org.za 2. Ms Yvonne Mbane : Executive Head- Corporate Services Yvonnem@idt.org.za 3. Nicky Mogorosi : Chief Financial Officer Nickym@idt.org.za 4. Cornelius Ruiters : Executive Head-Programmes Management Corneliusr@idt.org.za REGIONAL OFFICES 1. Eastern Cape Office Deputy Information Officer: Mqondiso Makupula Palm Springs Business Park Bonza Bay Road. Silverwood House Beacon Bay. East London 5241 Telephone number: (043) 711 6000 E-mail :mqondisom@idt.org.za 2. Free State Office Deputy Information Officer: Tseliso Mokheti PHG Building/The Courtyard 196 Nelson Mandela Drive Bloemfontein 9301 Telephone number: (051) 411 6251 E-mail: tselisom@idt.org.za

7 3. Gauteng Office Deputy Information Officer: Tebogo Malaka Building No 1 North Midrange Cnr 6th Avenue & New Road Midrand, 1632 Telephone number: (011) 357 4600 E-mail: Tebogom@idt.org.za 4. KwaZulu-Natal Office Deputy Information Officer: Nonhlanhla Khumalo 12th Floor the marine 22 Dorothy Nyembe Street Durban 4001 Telephone number (031) 369 7400 E-mail: Nonhlanhlak@idt.org.za 5. Limpopo Office Deputy Information Officer: Joseph Bali Mamabolo 68 Hans Van Rensburg Street Polokwane 0699 Telephone number (015) 295 0000 E-mail: Balim@idt.org.za 6. Mpumalanga Office Deputy Information Officer: Dr. Hlamalani Manzini 34 Brown Street 1st Floor ABSA Building Nelspruit 1201 Telephone number :(013) 756 5500 /5518 E-mail: Hlamalanim@idt.org.za

8 7. Northern Cape Office Deputy Information Officer: Patience Mokhali 10 Roper Street Kimberly 8301 Telephone number (053) 807 2660 E-mail: Patiencem@idt.org.za 8. North West Office Deputy Information Officer: Tapala Ramodike 4059 Joules Street Mahikeng 2745 Telephone number (018) 389 3000 E-mail: Tapalar@idt.org.za 9. Western Cape Office Deputy Information Officer: Bongani Mfeka 30 Waterkant Street 2 nd Floor Cape Town, 8000 Telephone number (021) 405 4000/ 4010 (direct) E-mail: Bonganim@idt.org.za/Alanw@idt.org.za

9 6. PROCESSES AND PROCEDURES FOR REQUESTING RECORDS OR INFORMATION (SECTION 14(1)(d) This manual is also available from the South African Human Rights Commission. Please direct any enquiries to: The South African Human Rights Commission PAIA Unit The Research and Documentation Department Postal address: Private Bag 2700 Houghton 2041 Telephone: (011) 484 8300 Fax: (011) 484 0582 E-mail:paia@sahrc.org.za 7. RECORDS THAT MAY BE REQUESTED The record to be requested refers to any recorded information regardless of its form or medium which is in the possession of or managed by the IDT. 8. REQUEST PROCEDURES a. The requester must use the prescribed form to make the request for access to a record. The request must be made to the Deputy Information Officer. ( See attached forms ) b. The requester must provide sufficient particulars on the request form to enable the Deputy Information Officer to identify the record requested and the requester. c. The requester must indicate the form of access required. d. The requester must state whether the record concerned is preferred in any particular language. e. The requester should indicate if she/he wishes to be informed of the decision on the request in any other manner and state that manner and the necessary particulars for compliance to the request. f. If the request is made on behalf of another person, the requester must submit proof of the capacity in which he/she is making the request, to the reasonable satisfaction of the Deputy Information Officer. g. Should an individual be unable to make a request to a record of IDT because of illiteracy or disability, he/she may make such a request orally. The Deputy Information Officer of IDT

10 must then reduce the oral request to writing in the prescribed form and supply the requester with a copy thereof. h. The Deputy Information Officer shall notify the requester, requiring the requester to pay the prescribed fee (if any) before further processing the request ( a fee is not applicable to personal requesters) i. A requester whose request for access to a record has been granted must pay an access fee for the reproduction and for the searching and preparation of the copies or transcriptions of the content of the record requested and for the time reasonably required in excess of the prescribed hours to search for and prepare the record for disclosure. j. The Deputy Information Officer will inform the requester of the decision within 30 days after receipt of the request or may extend that period by a further period not exceeding 30 days. k. In the event the IDT refuses to give the requester access to requested records, the requester may lodge an application with a court of Law for IDT to be ordered to give the requester access to the requested records. l. If the court orders IDT to grant the requester access to the requested records, the requester must pay the access fee contemplated in paragraph (k) above, before access to such records can be granted. 9. GROUNDS FOR REFUSAL a. The Information Officer may refuse request for access to information or a record if that record or information relates to: I. Mandatory protection of privacy of a third party who is a natural person II. Mandatory protection of the commercial information of a third party, if the record contains Trade secrets of that third party Financial, commercial or technical information which the disclosure could likely cause harm to the financial interests of the third party Information supplied in confidence by the third party to the IDT, if the disclosure could put that third party at a disadvantage in negotiations Mandatory protection of the safety of individuals and the protection of property Mandatory protection of records that might be regarded as privileged in legal proceedings Trade secrets of the IDT 10. RECORDS AVAILABLE IN TERMS OF THIS LEGISLATION 11.1 Trust Secretariat a) IDT founding papers b) Trustees minutes c) EXCO minutes

11 d) Submissions to the Board of Trustees e) Corporate calendar 11.2 Compliance and Risk a) Legislative checklists b) Investigations and Audit queries c) Risk Charter d) Strategic Risks Register e) Operational Risk Register f) Fraud prevention plan g) Whistle Blowers Report h) Audit Plan i) Scope Letters j) Audit Report 11.3 Strategy and Policy a) Minutes of Meetings b) Business plan c) Communication with Parliament d) Performance Reports to Executive Authority e) Trustees Reports 11.4 Finance a) Audited financial statements b) Management Accounts c) Banking details d) Debtors/Creditors statements e) General ledgers f) Supplier database g) Tender documentation 11.5 Human Resources a) Application letters & forms b) Arbitration awards c) Agreements with Trade union d) CCMA records e) Code of conduct f) Employment contracts g) Employment conditions and policies h) Employee Wellness Reports i) IRP 5 s

12 j) Labour disputes reports k) Medical aid records l) Personnel files m) Safety, Health and Environmental records n) Tax Reports o) Training reports p) Pension Fund Records q) Performance agreements contracts 11.6 Legal Services a) Contracts b) Litigations c) Legal Opinions d) Minutes 11.7 Programmes Management a) Programme Reports b) Project Reports c) Minutes d) Submissions (EXCO) e) Agreements f) Drawings g) Strategy Documents h) Opinion/think tank papers i) Monitoring and Evaluation Reports j) International Relation and Field Reports k) Articles l) Research Papers 11.8 Information Technology 1) Systems documentation and manual 2) Audit reports 3) Disaster Recovery Plan 4) Backup tapes 5) Minutes 6) Performance Management disaster Plan 11.09 Records Management a) File Plan b) Retention Schedule c) Registry Manual

13 d) PAIA Manual 11.10 Administration and Facilities a) Lease agreements b) Insurance Claims c) Accidents Reports 11.11 Communications a) Annual Reports b) Minutes of Meetings c) Photographs d) Multimedia e) Quarterly Bulletins f) Corporate Newsletters Schedule 1 FEES IN RESPECT OF PUBLIC BODIES Part ii of Notice 187 in the Government Gazette on 15 February 2002 1. The fee for a copy of the manual as contemplated in regulation 5(c) is R0, 60 for every photocopy of an A4-size page or part thereof. 2. The fees for reproduction referred to in regulation 7(1) are as follows: (a) (b) For every photocopy of an A4-size page or part thereof For every printed copy of an A4-size page or part thereof held on a computer or in electronic or machine 0, 60 readable form 0, 40 c) For a copy in a computer-readable form on - i) stiffy disc 5, 00 ii) compact disc 40, 00 d) (i) For a transcription of visual images, or an A4-size page or part thereof 22, 00 (ii) For a copy of visual images 60, 00

14 e) (i) For a transcription of an audio record, or an A4-size page or part thereof 12, 00 (ii) For a copy of an audio record 17, 00 3. The request fee payable by every requester, other than a personal requester, referred to in regulation 7(2) is R35, 00. 4. The access fees payable by a requester referred to in regulation 7(3) are as follows: R (1)(a) For every photocopy of an A4-size page or part thereof 0, 60 (b) For every printed copy of an A4-size page or part thereof held on a computer or in electronic or machinereadable form 0, 40 (c) For a copy in a computer-readable form on - (i) stiffy disc 5, 00 (ii) compact disc 40, 00 (d) (i) For a transcription of visual images, for an A4-size page or part thereof 22, 00 (ii) For a copy of visual images 60, 00 (e) (i) For a transcription of an audio record, for an A4-size page or part thereof 12, 00 (ii) For a copy of an audio record 17, 00 (f) To search for and prepare the record for disclosure, R15, 00 for each hour or part of an hour, excluding the first hour, reasonably required for such search and preparation. (2) For purposes of section 22(2) of the Act, the following applies: (a) Six hours as the hours to be exceeded before a deposit is payable; and

15 (b) one third of the access fee is payable as a deposit by the requester. (3) The actual postage is payable when a copy of a record must be posted to a requester.

Schedule 2 16 PRESCRIBED FORMS FOR ACCESS TO INFORMATION REQUEST FOR ACCESS TO RECORD OF PUBLIC BODY (Section 18(1) of the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000)) FOR DEPARTMENTAL USE Reference number: Request received by (state rank, name and surname of information officer/deputy information officer) on (date) at (place). Request fee (if any): R... Deposit (if any): R... Access fee: R... SIGNATURE OF INFORMATION OFFICER/DEPUTY INFORMATION OFFICER A. Particulars of public body Name of Public Body Designated Information Officer Designated Deputy Information Officer Email address of Information Officer/ Deputy Information Officer INDEPENDENT DEVELOPMENT TRUST (IDT) IDT CEO Chief Executive Officer : Mr Coceko Pakade Maggiem@idt.org.za/mzolisif@idt.org.za Postal address Street address Phone number 012-845 2061 Fax number B. Particulars of person requesting access to the record (a) The particulars of the person who requests access to the record must be recorded below. (b) Furnish an address and/or fax number in the Republic to which information must be sent. (c) Proof of the capacity in which the request is made, if applicable, must be attached. Full names and surname: Identity number: Postal address:

17 Fax number: Telephone number: E-mail address: Capacity in which request is made, when made on behalf of another person: C. Particulars of person on whose behalf request is made This section must be completed only if a request for information is made on behalf of another person. Full names and surname: Identity number: D. Particulars of record (a) Provide full particulars of the record to which access is requested, including the reference number if that is known to you, to enable the record to be located. (b) If the provided space is inadequate please continue on a separate folio and attach it to this form. The requester must sign all the additional folios. 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 request for access to a record, other than a record containing personal information about yourself, will be processed only after a request fee has been paid. (b) You will be notified of the amount required to be paid as the request fee. (c) The fee payable for access to a record depends on the form in which access is required and the reasonable time required to search for and prepare a record. (d) If you qualify for exemption of the payment of any fee, please state the reason therefore. Reason for exemption from payment of fees: F. Form of access to record If you are prevented from reading viewing or listening to the record by a disability in the form of access provided for in 1 to 4 hereunder, state your disability and indicate in which form the record is required. Disability: Form in which record is required:

18 NOTES: (a) Your indication as to the required form of access depends on the form in which the record is available. (b) Access in the form requested may be refused in certain circumstances. In such a case you will be informed if access will be granted in another form. (c) The fee payable for access to the record, if any, will be determined partly by the form in which access is requested. Mark the appropriate box with an "X". 1. If the record is in written or printed form - copy of record* inspection of record 2. If record consists of visual images - (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.) view the images copy of the images* transcription of the images* 3. If record consists of recorded words or information which can be reproduced in sound- listen to the soundtrack (audio cassette) transcription of soundtrack* (written or printed document) 4. If record is held on computer or in an electronic or machine-readable form - printed copy of record* printed copy of information derived from the record* copy in computer readable form* (magnetic or optical disc)

19 *If you requested a copy or transcription of a record (above), do you wish the copy or transcription to be posted to you? A postal fee is payable. YES NO Note that if the record is not available in the language you prefer, access may be granted in the language in which the record is available. In which language would you prefer the record? G. Notice of decision regarding request for access You will be notified in writing whether your request has been approved/denied. If you wish to be informed thereof in another manner, please specify the manner and provide the necessary particulars to enable compliance with your request. How would you prefer to be informed of the decision regarding your request for access to the record? Signed at this day of 20 SIGNATURE OF REQUESTER / PERSON ON WHO S BEHALF REQUEST IS MADE