Access to Information Manual
PBSA (Pty) Limited
Published in terms of section 51 of the Promotion of Access to Information Act, 2 of 2000
Appendix A - Request Form for Access to Information of a Private Body
This annexure must accompany the cover letter addressed to the Access to Information Officer.
A. For the attention of:
pbsa Access to Information Officer |
|
Name |
Leon van der Merwe |
Phone Number |
+27 (0) 11 516 9400 |
Facsimile Number |
+27 (0)11 466 2678 |
Email Address |
leon@pitneybowes.co.za |
B. Particulars of the person requesting access to the record:
Person Requesting Information |
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First name(s) |
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Family name |
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Identity number |
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Proof of capacity in which the request is made (if applicable), and / or whether the request is made on behalf of another person. |
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Postal address |
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Physical address |
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Email address |
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Phone number |
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Facsimile number |
C. Particulars of person on whose behalf the request is made:
This section must only be completed if the request for information is made on behalf of another.
Request on behalf of another |
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First name(s) |
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Family name |
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Identity number |
D. Particulars of the records requested:
The Record(s) |
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Please provide details of the record(s) to which access is requested, including any reference numbers, dates, persons involved, which will assist in locating the record. If more space is needed than this form provides, please attach a separate page(s) and sign all additional pages. |
E. Fees and exemptions
A request for access to records other than a record containing personal information about you will only be processed after the request fee has been paid. You will be notified of the amount required. 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 the record for transmission to you.
If you seek an exemption from payment of prescribed fees please provide reasons below.
Reason(s) for exemptions |
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Reason 1 |
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Reason 2 |
F. Form of the access to the record
If you suffer from a disability and / or require the record in any particular form, please provide details below and we will do our best to accommodate you.
Form of the record |
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Disability |
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Form in which the record is required |
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Copy of the record |
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Inspection of the record |
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The viewing of images |
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Copy of images |
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Transcription of images or sound |
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Conversion of written word to sound |
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Recorded soundtrack |
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Printed copy of information derived from record |
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Computer readable form, such as stiffy disc or compact disc |
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Other |
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Note: We have retained terminology from the Act which refers to stiffy discs and other outdated media. Please note that in all instances, this will be regarded as equivalent to versions of electronic information in any format as per the definition of ‘data’ in the Electronic Communications and Transactions Act, 25 of 2002. |
G. Particulars of the right to be exercised or protected
Right(s) |
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Please describe the right(s) you seek to exercise or protect. If the space is insufficient please provide an extra page(s) as described above and sign it. |
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Please describe why or how the record that is sought will be helpful in the exercise or protection of these right(s). |
H. Notice of PBSA decision
You will be notified in writing as to whether your request for access to information has been approved or denied. Please confirm how you would like to receive this notification.
Notification of decision in writing |
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By post to postal address |
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By post to physical address |
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By email |
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By facsimile |
Signed at ______________________ this _____, day of ______________________ 201_
Signature of person requesting information
_________________________________________________
Signature of the person on whose behalf the request is made
_________________________________________________
Internal PBSA use only |
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Reference number |
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Access to Information Officer |
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Request fee |
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Deposit fee (if applicable) |
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Access the (if any) |
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Signature of Access to Information Officer |
Appendix B – Fees in Respect of Private Bodies
Item |
Reference |
Record Description |
Fee in ZAR |
1. |
Regulation 9(2)(c) |
Copy of the Manual - for every photocopy of an A4-size page or part thereof |
1.10 |
2. |
Regulation 11(1) |
Reproduction |
|
2(a) |
For every photocopy of an A4-size page or part thereof |
1.10 |
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2(b) |
For every printed copy of an A4 size page or part thereof held on a computer or in electronic or machine-readable form |
0.75 |
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2(c) |
For a copy of a computer readable form on: |
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(i) stiffy disc |
7.50 |
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(ii) compact disc |
75.00 |
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2(d) |
(i) for a transcript of visual images, for an A4 size page or part thereof |
40.00 |
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(ii) for a copy of visual images |
60.00 |
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(e) |
(i) for a transcription of an audio record, for an A4 size page or part thereof |
20.00 |
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(ii) for a copy of an audio record |
30.00 |
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3. |
Regulation 11(2) |
The request fee payable by a person requesting information other than the person himself or herself |
50.00 |
4. |
Regulation 11(3) |
The access fee payable by a person requesting information |
|
4(1)(a) |
For every photocopy of an A4 size page or part thereof |
1.10 |
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4(1)(b) |
For every printed copy of an A4 size page or part thereof held on a computer or in electronic or machine-readable form |
0.75 |
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4(1)(c) |
For a copy in a computer readable form on: (i) stiffy disc |
7.50 |
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(ii) compact disc |
70.00 |
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4(1)(d) |
(i) for a transcription of visual images for an A4 size page or part thereof |
40.00 |
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(ii) for a copy of visual images |
60.00 |
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4(1)(e) |
(i) For a transcription of an audio record for an A4 size page or part thereof |
20.00 |
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(ii) for a copy of an audio record |
30.00 |
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4(1)(f) |
To search for and prepare the records for disclosure |
R30.00 per hour or part thereof (first hour excluded) |
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4.2 |
Section 54 (2) of the Act |
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4.2(a) |
Six hours as the hours to be exceeded before a deposit is payable; and |
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4.2(b) |
One third of the access fee is payable as a deposit by the person requesting information |
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4.3 |
Actual postage is payable when a record must be posted to a person requesting information |