RFA record

- The Information Office / Deputy Information Office
  The Registrar
  University of the Western Cape
  Private Bag X17 Access to
  Bellville
  7535
  
  Tel: 021 959 2111
  Fax: 021 959 2973
  E-mail: paia_rfa@uwc.ac.za
  
  PLEASE NOTE: Requests for information in terms of the Promotion of Access to
  Information Act, Act No. 2 of 2000, will only be processed if the application form below has been completed in full by the relevant requestor and the applicable fees have been paid.
- Full Name*
  
  TitleFirst NameLast Name
- Identity number*
- Passport number*
- Postal Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- E-mail*
- Phone Number (W/H)*
  
  Area CodePhone Number
- Cellphone Number
- Fax Number
  
  Area CodePhone Number
- Are you requesting information on behalf of another person ?*
  
  YesNo
- This section must be completed only if a request for information is made on behalf of another person.
- Capacity in which this request for information on behalf of another person is made*
- Full Name*
  
  TitleFirst NameLast Name
- Identity number*
- Passport number*
- Description of record or relevant part of the record*
- Reference number of the record
  Optional - If you know the reference number then enter it
- Any further particulars of the record at your disposal ?
- Do you want to see the current fees for access to a record?
  
  Yes
- Pease take note of the following:
- 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.*
  
  I acknowledge
- You will be notified of the amount required to be paid as the request fee*
  
  I acknowledge
- 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 a record.*
  
  I acknowledge
- Do you qualify for exemption of the payment of any fees ?*
  
  YesNo
- Reason for exemption from payment of fees*
- (a) Your indication as to the required form of access depends on the form in which the record is available.
  
  (b) Access to the format requested may be refused in certain circumstances. In such a case you will be informed if access will be granted in another format.
  
  (c) The fee payable for access to the record, if any, will be determined partly by the format in which access is requested.
- Disability
  
  Yes
- Please identify the disability*
  
  ReadingViewingListening
- Form in which record is required*
  
  PDF formatAudio (DVD / CD)Other
- Is the record in written or printed form*
  
  WrittenPrinted
- Does the record contain visual images ?*
  
  Photographsslidesvideo recordingscomputer generated imagessketchesOther
- Does the record contain words or information which can be reproduced in sound ?*
  
  YesNo
- Is the record held on computer or in an electronic or machine-readable form ?*
  
  YesNo
- Do you wish the copy or transcription to be posted to you ?*
  
  YesNo
- In which Language would you prefer the record ?*
- Please specify the language*
- NOTE:
  
  If the record is not available in the Language requested, access may be granted in the language in which the record is available.
- Completed and submitted at*
- On this date*
  
  DayMonthYear
- Are you the same person identified in section B ?*
  
  YesNo
- Full Name*
  
  First NameLast Name
- Please upload a certified copy of you Identity document*
  
  Upload a File
  pdf, doc, html, zip, mp3, avi, jpg, png etc. Cancelof
- Please upload an affidavit of at least 1 week old, identifying you as the requestor of this information*
  
  Upload a File
  pdf, doc, html, zip, mp3, avi, jpg, png etc. Cancelof
- Enter the message as it's shown*
- You will be notified in writing whether your request has been approved/denied.
  
  If you wish to be informed thereof in another manner, please specify the manner and provide the necessary particulars to enable compliance with your request.
- How would you prefer to be informed of the decision regarding your request for access to the record ?*
  
  e-MailIn writing, to the postal address providedSMSOther
- Reference number
- Request received by:
  
  First NameLast Name
- On this Date
  
  DayMonthYear
- Request Fee:
- Receipt no:
- Deposit:
- Receipt no:
- Access Fee:
- Receipt no:
- Type a question
- Should be Empty: