REQUEST FOR ACCESS TO INFORMATION

(Access To Information Act 2016)

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PART A_ PARTICULARS OF INFORMATION SEEKER

Full Name:
Sex

PART B_PARTICULARS OF INFORMATION HOLDER

PART C_PARTICULARS OF PERSON ON WHOSE BEHALF THE REQUEST IS MADE.

(To be completed if request is being made on behalf of another person) Particulars of person on whose behalf the request is made (Please attach any documentation that indicates that you are authorized to act for the other person)
PARTICULARS OF PERSON ON WHOSE BEHALF THE REQUEST IS MADE.
Click or drag files to this area to upload. You can upload up to 5 files.
Please attach any documentation that indicates that you are authorized to act for the other person

PART D_ PARTICULARS OF INFORMATION BEING SOUGHT

PART E__FORMAT OF INFORMATION BEING REQUESTED (State the format in which you want to access the information, e.g. print, electronic etc.)
Please write your full name


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