Please only fill out this form if you're a private individual requesting information for yourself.
(a) The particulars of the person who requests access to the record must be given below.
(b) The address and/or fax number in the Republic to which the information is to be sent must be given.
(c) We may request further documentation, if applicable, in order to validate the identity of the requester.
Full Name and Surname of the Requester: * Full ID Number or Passport Number of the Requester: * Postal Address (within the Republic of South Africa) - for delivery of the requested information: * Alternatively a Fax Number (within the Republic of South Africa) - for delivery of the requested information: * Telephone Number Email Address * Particulars of record
(a) Provide full particulars of the record to which access is requested, including any specific details that are known to you (ie. Burner Bio details, Theme Camp name, filenames, etc.) to enable the record to be located.
(b) There's no limit to the amount of information you can request using this form, but you might find it easier to make multiple requests if you're looking for multiple pieces of information.
Description of record or relevant part of the record: * URL (website address) related to the request: Any further particulars of the record: Form of access to record
If you are prevented by a disability to read, view or listen to the record in the form of access provided for in 1 to 4 hereunder, state your disability and indicate in which form the record is required.
Please note: Compliance with your request in the specified form may depend on the form in which the record is available. Additionally, 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.
Please state your disability: Please state the form in which information must be provided: 1. If the record is in printed or written form: 2. If record consists of visual images: 3. If record consists of recorded words or information which can be reproduced in sound: 4. If record is held on computer or in an electronic or machine-readable form: * If you requested a copy or transcription of a record (above), do you wish the copy or transcription to be posted to you (postage is payable)? Particulars of right to be exercised or protected Indicate which right is to be exercised or protected: * Explain why the record requested is required for the exercise or protection of the aforementioned right: * 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 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? *