Please select the Companies you are requesting access to a record from:
Please select the type of request you are making:
The particulars of the person who requests access to the record must be given below.The address and/or fax number to which the information is to be sent must be given.Proof of the capacity in which the request is made, if applicable, must be attached.
This section must be completed ONLY if a request for information is made on behalf of another person.
Provide full particulars of the information or record to which access is requested, including any reference number if that is known to you, to enable the record to be located. If the provided space is inadequate, please continue on a separate page and attach it to this form. The Data Subject Requester must sign all the additional pages.
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. You will be notified of the amount required to be paid as the request fee. 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 such record. If you qualify for exemption of the payment of any fee, please state the reason for exemption.
For a full schedule of fees please view Annexure B of our PAIA Manual HERE
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.
If the provided space is inadequate, please continue on a separate page and attach it to this form. The Requester must sign all the additional pages
You will be notified in writing via email whether your request has been approved/ denied within 30 days. If you wish to be informed in another manner, please specify the manner and provide the necessary particulars to enable compliance with your request.
TEL: +27 11 293 0000
Adv S A Kleynhans
84 Bram Fischer Drive