STMTSKOERANT, 9 MAART 2001

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No. 22125 @

ANNEXURE

FORM A
REQUEST FOR ACCESS TO RECCDRD OF PUBLIC BODY
(Section 18( 1) of the Promotion of Access to Infomation Act, 2000 (Act No. 2 of 2000))

[Regulation2J

FOR DEPARTMENTAL USE
Reference number:
Request received by

(state

rank, name and surname of information officeddeputy information officer)on
(date) at

- (place).

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R ...................................
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Request fee (if any): R
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Access fee:

SIGNATURE OF INFORMATION

OFFICERDEPUTY INFORMATION
OFFICER

A,

Particulars of public body

The Information OfficedDeputy Information Oficer:

00to22 12-a

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