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1
Manual on
Access to Information
Issued in terms of
Section 51 of the
Promotion of Access to Information Act 2000
March 2015
A copy of this manual has been submitted to the South African Human Rights Commission.
It is also available on our website.
The copy for this manual was supplied to the
Institute of Estate Agents of South Africa
2
Contents
The purpose of this manual is to explain what records we hold, and how you can obtain access
to them if you need access in order to exercise or protect your rights. This manual's contents
are:
1. Our firm
1.1 Who we are
1.2 How to contact us
2. Our records
2.1 Records which are automatically accessible
2.2 Voluntary disclosure of records
2.3 Other records
3. Access to our records
3.1 Your right of access
3.2 Our right to refuse access
3.3 Notice i.t.o. Section 52 of the Act
3.4 SA Human Rights Commission: Section 10 Guide
4. How to apply for access
4.1 Fill in a request form
4.2 Submit the form and the request fee
4.3 We will respond
5. Schedule of Fees
6. Application Form
3
1. OUR FIRM
1.1 WHO WE ARE
Realnet Glen Erasmia an estate agency firm, registered with the Estate Agency Affairs Board.
We provide the following services:
Property consultation and viability studies. Commercial and residential valuations. Commercial
and Residential Property Broking. Commercial and Residential Property Management.
1.2 HOW TO CONTACT US
Our contact details are as follows:
Name of contact person: Magda Stoffberg
Physical address: 2 Braambos Rd, Glen Marais 1620 C/O Veld Street & Braambos Rd
Office hours: 8.00 am – 5.00 pm
Telephone: 27 11 972 8648
Fax: (086) 602 9451
E-mail: magdas@realnet.co.za
Website: http://realnet-glen-erasmia.co.za/
4
2. OUR RECORDS
2.1 RECORDS WHICH ARE AUTOMATICALLY ACCESSIBLE
Records which we hold in terms of the following Acts of Parliament are automatically accessible
in terms of those laws:
 Basic Conditions of Employment Act (Act 75 of 1997)
 Close Corporations Act (Act 69 of 1984)
 Compensation for Occupational Injuries and Disease Act (Act 130 of 1993)
 Employment Equity Act (Act 55 of 1998)
 Estate Agency Affairs Act (Act 112 of 1976)
 Estate Agents' Code of Conduct (1993)
 Financial Intelligence Centre Act (Act 38 of 2001)
 Income Tax Act (Act 58 of 1962)
 Labour Relations Act (Act 66 of 1995)
 Money Laundering & Terrorist Financing Control Regulations (2002/2005)
 Occupational Health and Safety Act (Act 85 of 1993)
 Regional Services Councils Act (Act 109 of 1985)
 Rental Housing Act (Act 50 of 1999)
 Skills Development Act (Act 97 of 1998)
 Skills Development Levies Act (Act 9 of 1999)
 Stamp Duties Act (Act 77 of 1998)
 Transfer Duty Act (Act 40 of 1949)
 Unemployment Insurance Act (Act 63 of 2001)
 Unemployment Contributions Act (Act 4 of 2002)
 Value Added Tax Act (Act 89 of 1991)
Anyone who is entitled to access to any of those records under any of those laws may therefore
have access to them.
2.2 VOLUNTARY DISCLOSURE OF RECORDS
The following records and information are freely available on request:
 Information about properties which are currently for sale or to let through our firm
 Everything that appears on our website.
2.3 OTHER RECORDS
We also hold the following records, which are not automatically accessible. If you want access
to any of them, you will need to follow the procedure in section 3 of this manual:
5
Correspondence
 General correspondence
Companies Act records
 Records of incorporation
 Memorandum and article of incorporation
 Records relating to the appointment of auditors, directors
 Statutory registers
Fidelity Fund Certificates
 Current and past fidelity fund certificates for our firm, its principals and agents
Financial
 Business account records
 Banking records
 Bank statements
 Paid cheques
 Electronic banking records
 Trust account records
 Banking records
 Bank statements
 Paid cheques
 Electronic banking records
 Trust account annual audit reports
 Tax records
 Invoices
 Receipts issued
Financial Intelligence
 Client verification records
 Reports (if any) submitted to the Financial Intelligence Centre
6
IT and operational records
 Operational records
 Databases
 Marketing records
 Internal correspondence
 Product records
 Internal Policies and procedures
 Securities and equities
 Treasury related records
Income tax records
 PAYE records
 Documents issued to employees for income tax purposes
 Records of payments made to SARS on behalf of employees
 All other statutory compliances:
 VAT
 Regional Services Levies
 Skill development levies
 UIF
Meetings
 Minutes of meetings
Legal
 Records of legal matters
 Attorney’s fees
 Counsel’s fees
Letting records
 Advertisements
 Records of properties rented out on behalf of clients
 Letting performance figures
 Rental agreements
 FICA documentation
7
Human Resources Records
 Personnel files for current employees and agents
 Employment contracts
 Disciplinary records
 Salary records
 Leave records
 Training records
 Personnel files for ex-employees and agents who left during the past three years
 Employment contracts
 Disciplinary records
 Salary records
 Leave records
 Training records
Property
 Documents relating to the firm's premises
Property management records
 Records of properties managed on behalf of clients
Sales records
 Advertisements
 Valuations and mandates
 Records of sales concluded by the firm
 Sales performance figures
 Offers to purchase
 Contracts
 FICA documentation
 Client contact details
Training
 Training material
8
3. ACCESS TO OUR RECORDS
3.1 YOUR RIGHT OF ACCESS
The Act entitles you to have access to our records, provided that
 You need access to exercise or protect any of your rights, and
 You apply for access according to the procedure set out in this manual, and
 We do not have grounds for refusing you access.
3.2 OUR RIGHT TO REFUSE ACCESS
We have the right to refuse you access to our records if any of the following grounds apply:
 The record would unreasonably disclose personal information about a third party,
including a deceased individual (unless that third party or a representative of the
deceased gives written permission for access),
 The record contains (a) trade secrets, or (b) financial, commercial, scientific or technical
information, or (c) information about research by a third party, which could put that third
party at a disadvantage in a negotiation or prejudice him in competition (unless that third
party gives written permission for access),
 Access would put us in breach of a duty of confidence which we owe to a third party
(unless that third party gives written permission for access),
 Access could reasonably be expected to (a) endanger someone's life or physical
safety, or (b) prejudice or impair the security of a building, structure, system, means of
transport or other property,
 The record is privileged from being produced as evidence in legal proceedings (unless
the person protected by the privilege has waived that protection).
3.3 NOTICE i.t.o. SECTION 52 OF THE ACT
We have not gazetted any notices in terms of Section 52 of the Act. This means that, except for
those items listed in sections 2.1 and 2.2 of this manual, we will grant access to our records only
in terms of this manual.
3.4 SOUTH AFRICAN HUMAN RIGHTS COMMISSION: SECTION 10 GUIDE
The South African Human Rights Commission has published a Guide (under Section 10 of the
Act) explaining the Act and how it works. For further details, contact the SAHRC directly
through their website: www.sahrc.org.za
9
4. HOW TO APPLY FOR ACCESS
4.1 FILL IN A REQUEST FORM
If you want to obtain access to any of the records listed in this manual, you should fill in the
application form contained in section 6 of this manual.
4.2 SUBMIT THE FORM AND THE REQUEST FEE
Hand in your completed application form, and a non-refundable request fee of R50.00 + VAT at
our office. If you are an employee or ex-employee requesting access to your personnel record,
then you don't have to pay the request fee.
If you cannot visit our office in person, you can post the form and fee to us, or you can contact
us to make alternative arrangements.
4.3 WE WILL RESPOND
We will consider your request and let you know our decision, in writing, not more than 30 days
after we receive your request.
Our response will probably be one of the following:
A. Your application does not contain enough information to enable us to search for the
record you want. Please provide additional details.
B. It is going to take us more than six hours to search through our records, and before we do
so you must pay us a deposit of R60.00 (plus VAT).
C. We have found the record you're looking for, and you may have access to it, on payment
of:
 An access fee of R30.00 (+ VAT) per hour for the time that it took us to find the record
(less any deposit which you have already paid), and
 A reproduction fee for making photocopies or printouts or copying the record onto a stiffy
disc or CD - the fees are set out in section 5 of this manual
Note: we will not charge fees to an employee or ex-employee requesting access to
his/her personnel record.
D. In the event that access to information is denied, for reasons which we will state in our
reply, the deposit will be refunded (but not the request fee).
E. We have searched for the record and cannot find it. We will give you an affidavit
explaining what steps we took to try and find the record. Should the missing record later come
to light, we will notify you.
10
5. SCHEDULE OF FEES
As per Government Gazette 23119 dated 15 February 2002
A photocopy of this manual: R 1.10 per page
Request fee (non-refundable)
 Payable on submission of the Application Form R50.00 Access fee
 For searching our records R30.00 p/hour (or part thereof)
Note: if the search is likely to take longer than six hours (which would cost more than R180),
then a deposit of one-third (i.e. R60) is payable in advance.
Reproduction fee
 Photocopy (A4 page or part thereof) R 1.10
 Printout from a computer or in other electronic or
machine-readable form (A4 page or part thereof) R 0.75
 Computer-readable copy on stiffy disc R 7.50
 Computer-readable copy of CD R70.00
 Transcription of visual images (A4 page/ part thereof) R40.00
 Copy of a visual image R60.00
 Transcription of an audio record (A4 page/ part thereof) R20.00
 Copy of an audio record R30.00
VAT must be added to request, access and reproduction fees.
Postage
If the copy of the record is to be sent by post, then postage must be paid in addition to the
request, access and reproduction fees.
11
6. APPLICATION FORM (Page 1 of 5 pages)
Request for Access to Record of Private Body
(Section 53(1) of the Promotion of Access to Information Act 2000
(Act No 2 of 2000))
Regulation 10
A. Particulars of private body
The Principal: ________________________________________________________________
Address: ____________________________________________________________________
____________________________________________________________________________
B. Particulars of person requesting access to the record
Notes:
(a) Please give the particulars of the person who is requesting access to the record.
(b) Please state the address and/or fax number in the Republic to which the information is to
be sent.
(c) If applicable, attach proof of the capacity in which the request is made.
Full names and surname: _______________________________________________________
____________________________________________________________________________
Identity number: _______________________________________________________________
Postal address: _______________________________________________________________
____________________________________________________________________________
Telephone no: __________________________ Fax no: ___________________________
E-mail address: _______________________________________________________________
12
If this application is being made on behalf of another person, state the capacity in which you are
making it: ____________________________________________________________________
C. Particulars of person on whose behalf the request is made
Note: this needs to be completed only if the request for information is being made on behalf of
another person.
Full names and surname: _______________________________________________________
____________________________________________________________________________
Identity number: _______________________________________________________________
D. Particulars of record
Notes:
(a) Provide full particulars of the record to which access is requested, including a reference
number (if you know of one) which will help us to locate the record.
(b) If there is not enough space on this form for all the particulars, write the remaining
particulars on a separate sheet of paper, sign it, and attach it to this form..
1. Description of the record or relevant part of the record:
____________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2. Reference number, if available: _____________________________________________
3. Any further particulars of record: _____________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
13
E. Fees
Notes:
(a) 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.
(b) You will be notified of the amount to be paid as the request fee.
(c) The fee payable for access to a record depends on the form in which access is required
and the reasonable time to search for and prepare a record.
(d) If you qualify for exemption from payment of any fee, please state the reason for
exemption.
Reason for exemption from payment of fees: ________________________________________
____________________________________________________________________________
F. Form of access to record
If you have a disability which prevents you from reading, viewing or listening to the record in any
of the forms of access listed in sections 1 to 4 hereunder, please state your disability and
indicate the form in which you require the record:
Disability: ________________________ Form in which record is required: ______________
________________________________ _________________________________________
________________________________ _________________________________________
F. Form of access to record (continued)
Notes:
(a) Compliance with your request in the specified form may depend on the form in which the
record is available.
(b) Access in the form requested may be refused in certain circumstances, in which case you
will be informed if access will be granted in another form.
(c) The fee payable for access to the record will partly be determined by the form in which
access is requested.
14
Mark the appropriate box with an X:
1. If the record is in written or printed form:
• copy of the record* __ • inspection of the record __
2. If the record consists of visual images (including photographs, slides, video recordings,
computer-generated images, sketches etc):
• view the images __ • copy of the images* __
• transcription of the images* __
3. If the record consists of recorded words or information which can be reproduced in sound:
• listen to soundtrack __ • transcription of soundtrack (written or
(audio cassette) __ printed)* __
4. If the record is held on a computer, or in electronic or machine-readable form:
• printed copy of record* __ • printed copy of information derived from
The record __
• copy in machine-readable form (stiffy or compact disc)* __
If you have requested the record in any of the forms marked *, • YES • NO
Do you want it to be posted to you? If so, postage will be payable.
G. Particulars of right to be exercised or protected
If the space provided is not adequate, please continue on a separate sheet, sign it, and attach it
to this form.
1. Indicate which right is to be exercised or protected: ______________________________
_______________________________________________________________________
_______________________________________________________________________
2. Explain why you need the requested record to exercise or protect the aforementioned
right:
15
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
H. Notice of decision regarding request for access
You will be notified in writing whether your application has been approved or denied. If you wish
to be informed in some other manner, please specify it and give details to enable us to comply
with your request:
How would you prefer to be informed of our decision regarding your request for access to the
record? _____________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
SIGNED AT _____________________ THIS _________ DAY OF ________________ 20 ____
_______________________________________
SIGNATURE OF REQUESTER /
PERSON ON WHOSE BEHALF THE REQUEST IS MADE

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Realnet glen erasmia paia handleiding 25.03.2015

  • 1. 1 Manual on Access to Information Issued in terms of Section 51 of the Promotion of Access to Information Act 2000 March 2015 A copy of this manual has been submitted to the South African Human Rights Commission. It is also available on our website. The copy for this manual was supplied to the Institute of Estate Agents of South Africa
  • 2. 2 Contents The purpose of this manual is to explain what records we hold, and how you can obtain access to them if you need access in order to exercise or protect your rights. This manual's contents are: 1. Our firm 1.1 Who we are 1.2 How to contact us 2. Our records 2.1 Records which are automatically accessible 2.2 Voluntary disclosure of records 2.3 Other records 3. Access to our records 3.1 Your right of access 3.2 Our right to refuse access 3.3 Notice i.t.o. Section 52 of the Act 3.4 SA Human Rights Commission: Section 10 Guide 4. How to apply for access 4.1 Fill in a request form 4.2 Submit the form and the request fee 4.3 We will respond 5. Schedule of Fees 6. Application Form
  • 3. 3 1. OUR FIRM 1.1 WHO WE ARE Realnet Glen Erasmia an estate agency firm, registered with the Estate Agency Affairs Board. We provide the following services: Property consultation and viability studies. Commercial and residential valuations. Commercial and Residential Property Broking. Commercial and Residential Property Management. 1.2 HOW TO CONTACT US Our contact details are as follows: Name of contact person: Magda Stoffberg Physical address: 2 Braambos Rd, Glen Marais 1620 C/O Veld Street & Braambos Rd Office hours: 8.00 am – 5.00 pm Telephone: 27 11 972 8648 Fax: (086) 602 9451 E-mail: magdas@realnet.co.za Website: http://realnet-glen-erasmia.co.za/
  • 4. 4 2. OUR RECORDS 2.1 RECORDS WHICH ARE AUTOMATICALLY ACCESSIBLE Records which we hold in terms of the following Acts of Parliament are automatically accessible in terms of those laws:  Basic Conditions of Employment Act (Act 75 of 1997)  Close Corporations Act (Act 69 of 1984)  Compensation for Occupational Injuries and Disease Act (Act 130 of 1993)  Employment Equity Act (Act 55 of 1998)  Estate Agency Affairs Act (Act 112 of 1976)  Estate Agents' Code of Conduct (1993)  Financial Intelligence Centre Act (Act 38 of 2001)  Income Tax Act (Act 58 of 1962)  Labour Relations Act (Act 66 of 1995)  Money Laundering & Terrorist Financing Control Regulations (2002/2005)  Occupational Health and Safety Act (Act 85 of 1993)  Regional Services Councils Act (Act 109 of 1985)  Rental Housing Act (Act 50 of 1999)  Skills Development Act (Act 97 of 1998)  Skills Development Levies Act (Act 9 of 1999)  Stamp Duties Act (Act 77 of 1998)  Transfer Duty Act (Act 40 of 1949)  Unemployment Insurance Act (Act 63 of 2001)  Unemployment Contributions Act (Act 4 of 2002)  Value Added Tax Act (Act 89 of 1991) Anyone who is entitled to access to any of those records under any of those laws may therefore have access to them. 2.2 VOLUNTARY DISCLOSURE OF RECORDS The following records and information are freely available on request:  Information about properties which are currently for sale or to let through our firm  Everything that appears on our website. 2.3 OTHER RECORDS We also hold the following records, which are not automatically accessible. If you want access to any of them, you will need to follow the procedure in section 3 of this manual:
  • 5. 5 Correspondence  General correspondence Companies Act records  Records of incorporation  Memorandum and article of incorporation  Records relating to the appointment of auditors, directors  Statutory registers Fidelity Fund Certificates  Current and past fidelity fund certificates for our firm, its principals and agents Financial  Business account records  Banking records  Bank statements  Paid cheques  Electronic banking records  Trust account records  Banking records  Bank statements  Paid cheques  Electronic banking records  Trust account annual audit reports  Tax records  Invoices  Receipts issued Financial Intelligence  Client verification records  Reports (if any) submitted to the Financial Intelligence Centre
  • 6. 6 IT and operational records  Operational records  Databases  Marketing records  Internal correspondence  Product records  Internal Policies and procedures  Securities and equities  Treasury related records Income tax records  PAYE records  Documents issued to employees for income tax purposes  Records of payments made to SARS on behalf of employees  All other statutory compliances:  VAT  Regional Services Levies  Skill development levies  UIF Meetings  Minutes of meetings Legal  Records of legal matters  Attorney’s fees  Counsel’s fees Letting records  Advertisements  Records of properties rented out on behalf of clients  Letting performance figures  Rental agreements  FICA documentation
  • 7. 7 Human Resources Records  Personnel files for current employees and agents  Employment contracts  Disciplinary records  Salary records  Leave records  Training records  Personnel files for ex-employees and agents who left during the past three years  Employment contracts  Disciplinary records  Salary records  Leave records  Training records Property  Documents relating to the firm's premises Property management records  Records of properties managed on behalf of clients Sales records  Advertisements  Valuations and mandates  Records of sales concluded by the firm  Sales performance figures  Offers to purchase  Contracts  FICA documentation  Client contact details Training  Training material
  • 8. 8 3. ACCESS TO OUR RECORDS 3.1 YOUR RIGHT OF ACCESS The Act entitles you to have access to our records, provided that  You need access to exercise or protect any of your rights, and  You apply for access according to the procedure set out in this manual, and  We do not have grounds for refusing you access. 3.2 OUR RIGHT TO REFUSE ACCESS We have the right to refuse you access to our records if any of the following grounds apply:  The record would unreasonably disclose personal information about a third party, including a deceased individual (unless that third party or a representative of the deceased gives written permission for access),  The record contains (a) trade secrets, or (b) financial, commercial, scientific or technical information, or (c) information about research by a third party, which could put that third party at a disadvantage in a negotiation or prejudice him in competition (unless that third party gives written permission for access),  Access would put us in breach of a duty of confidence which we owe to a third party (unless that third party gives written permission for access),  Access could reasonably be expected to (a) endanger someone's life or physical safety, or (b) prejudice or impair the security of a building, structure, system, means of transport or other property,  The record is privileged from being produced as evidence in legal proceedings (unless the person protected by the privilege has waived that protection). 3.3 NOTICE i.t.o. SECTION 52 OF THE ACT We have not gazetted any notices in terms of Section 52 of the Act. This means that, except for those items listed in sections 2.1 and 2.2 of this manual, we will grant access to our records only in terms of this manual. 3.4 SOUTH AFRICAN HUMAN RIGHTS COMMISSION: SECTION 10 GUIDE The South African Human Rights Commission has published a Guide (under Section 10 of the Act) explaining the Act and how it works. For further details, contact the SAHRC directly through their website: www.sahrc.org.za
  • 9. 9 4. HOW TO APPLY FOR ACCESS 4.1 FILL IN A REQUEST FORM If you want to obtain access to any of the records listed in this manual, you should fill in the application form contained in section 6 of this manual. 4.2 SUBMIT THE FORM AND THE REQUEST FEE Hand in your completed application form, and a non-refundable request fee of R50.00 + VAT at our office. If you are an employee or ex-employee requesting access to your personnel record, then you don't have to pay the request fee. If you cannot visit our office in person, you can post the form and fee to us, or you can contact us to make alternative arrangements. 4.3 WE WILL RESPOND We will consider your request and let you know our decision, in writing, not more than 30 days after we receive your request. Our response will probably be one of the following: A. Your application does not contain enough information to enable us to search for the record you want. Please provide additional details. B. It is going to take us more than six hours to search through our records, and before we do so you must pay us a deposit of R60.00 (plus VAT). C. We have found the record you're looking for, and you may have access to it, on payment of:  An access fee of R30.00 (+ VAT) per hour for the time that it took us to find the record (less any deposit which you have already paid), and  A reproduction fee for making photocopies or printouts or copying the record onto a stiffy disc or CD - the fees are set out in section 5 of this manual Note: we will not charge fees to an employee or ex-employee requesting access to his/her personnel record. D. In the event that access to information is denied, for reasons which we will state in our reply, the deposit will be refunded (but not the request fee). E. We have searched for the record and cannot find it. We will give you an affidavit explaining what steps we took to try and find the record. Should the missing record later come to light, we will notify you.
  • 10. 10 5. SCHEDULE OF FEES As per Government Gazette 23119 dated 15 February 2002 A photocopy of this manual: R 1.10 per page Request fee (non-refundable)  Payable on submission of the Application Form R50.00 Access fee  For searching our records R30.00 p/hour (or part thereof) Note: if the search is likely to take longer than six hours (which would cost more than R180), then a deposit of one-third (i.e. R60) is payable in advance. Reproduction fee  Photocopy (A4 page or part thereof) R 1.10  Printout from a computer or in other electronic or machine-readable form (A4 page or part thereof) R 0.75  Computer-readable copy on stiffy disc R 7.50  Computer-readable copy of CD R70.00  Transcription of visual images (A4 page/ part thereof) R40.00  Copy of a visual image R60.00  Transcription of an audio record (A4 page/ part thereof) R20.00  Copy of an audio record R30.00 VAT must be added to request, access and reproduction fees. Postage If the copy of the record is to be sent by post, then postage must be paid in addition to the request, access and reproduction fees.
  • 11. 11 6. APPLICATION FORM (Page 1 of 5 pages) Request for Access to Record of Private Body (Section 53(1) of the Promotion of Access to Information Act 2000 (Act No 2 of 2000)) Regulation 10 A. Particulars of private body The Principal: ________________________________________________________________ Address: ____________________________________________________________________ ____________________________________________________________________________ B. Particulars of person requesting access to the record Notes: (a) Please give the particulars of the person who is requesting access to the record. (b) Please state the address and/or fax number in the Republic to which the information is to be sent. (c) If applicable, attach proof of the capacity in which the request is made. Full names and surname: _______________________________________________________ ____________________________________________________________________________ Identity number: _______________________________________________________________ Postal address: _______________________________________________________________ ____________________________________________________________________________ Telephone no: __________________________ Fax no: ___________________________ E-mail address: _______________________________________________________________
  • 12. 12 If this application is being made on behalf of another person, state the capacity in which you are making it: ____________________________________________________________________ C. Particulars of person on whose behalf the request is made Note: this needs to be completed only if the request for information is being made on behalf of another person. Full names and surname: _______________________________________________________ ____________________________________________________________________________ Identity number: _______________________________________________________________ D. Particulars of record Notes: (a) Provide full particulars of the record to which access is requested, including a reference number (if you know of one) which will help us to locate the record. (b) If there is not enough space on this form for all the particulars, write the remaining particulars on a separate sheet of paper, sign it, and attach it to this form.. 1. Description of the record or relevant part of the record: ____________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 2. Reference number, if available: _____________________________________________ 3. Any further particulars of record: _____________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
  • 13. 13 E. Fees Notes: (a) 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. (b) You will be notified of the amount to be paid as the request fee. (c) The fee payable for access to a record depends on the form in which access is required and the reasonable time to search for and prepare a record. (d) If you qualify for exemption from payment of any fee, please state the reason for exemption. Reason for exemption from payment of fees: ________________________________________ ____________________________________________________________________________ F. Form of access to record If you have a disability which prevents you from reading, viewing or listening to the record in any of the forms of access listed in sections 1 to 4 hereunder, please state your disability and indicate the form in which you require the record: Disability: ________________________ Form in which record is required: ______________ ________________________________ _________________________________________ ________________________________ _________________________________________ F. Form of access to record (continued) Notes: (a) Compliance with your request in the specified form may depend on the form in which the record is available. (b) Access in the form requested may be refused in certain circumstances, in which case you will be informed if access will be granted in another form. (c) The fee payable for access to the record will partly be determined by the form in which access is requested.
  • 14. 14 Mark the appropriate box with an X: 1. If the record is in written or printed form: • copy of the record* __ • inspection of the record __ 2. If the record consists of visual images (including photographs, slides, video recordings, computer-generated images, sketches etc): • view the images __ • copy of the images* __ • transcription of the images* __ 3. If the record consists of recorded words or information which can be reproduced in sound: • listen to soundtrack __ • transcription of soundtrack (written or (audio cassette) __ printed)* __ 4. If the record is held on a computer, or in electronic or machine-readable form: • printed copy of record* __ • printed copy of information derived from The record __ • copy in machine-readable form (stiffy or compact disc)* __ If you have requested the record in any of the forms marked *, • YES • NO Do you want it to be posted to you? If so, postage will be payable. G. Particulars of right to be exercised or protected If the space provided is not adequate, please continue on a separate sheet, sign it, and attach it to this form. 1. Indicate which right is to be exercised or protected: ______________________________ _______________________________________________________________________ _______________________________________________________________________ 2. Explain why you need the requested record to exercise or protect the aforementioned right:
  • 15. 15 _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ H. Notice of decision regarding request for access You will be notified in writing whether your application has been approved or denied. If you wish to be informed in some other manner, please specify it and give details to enable us to comply with your request: How would you prefer to be informed of our decision regarding your request for access to the record? _____________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ SIGNED AT _____________________ THIS _________ DAY OF ________________ 20 ____ _______________________________________ SIGNATURE OF REQUESTER / PERSON ON WHOSE BEHALF THE REQUEST IS MADE