Access to Information Request Form

SCHEDULE 2

FORMS

THE ACCESS TO INFORMATION ACT, 2005

THE ACCESS TO INFORMATION REGULATIONS, 2011

REQUEST FORM

(Please use a separate request form for each document requested)

Please state the title of the institution from which you are requesting access to a record.
Name of requester
3. Particulars of requester
Telephone No.
Other contact details
Please indicate the address to which correspondence related to your request should be sent.
4. Description of record
Enter the name or type of document, if known.
Enter the reference or file number, if known.
Information that may help us identify and process the requested record.
Give brief description.
Please state any other details that may be relevant to the processing of the request.
7. I would like to:
Inspect the record
Listen to the record
View the record
Have copies made available to me in the following:
Inspect the record
Listen to the record
View the record
Number of copies required
Request on behalf of another person
Enter your full name
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