APPLICATION FOR ACCESS TO SAPOL RECORDS

APPLICATION FOR ACCESS TO SAPOL RECORDS (FREEDOM OF INFORMATION ACT - SECTION 13) PD360 A FEE MUST ACCOMPANY THIS APPLICATION PROOF OF IDENTITY IS REQUIRED • • Please use BLOCK letters If you need help, ask our staff DETAILS OF PERSON APPLYING FOR ACCESS TO SAPOL RECORDS Name: (Mr, Mrs, miss, ms) MS FteikCE TherCr,i6ELI v•* GA(' . .- DOB: . (F•nisyNerrie) oven NO/TIM3 Residential Address: _ Postcode: EMI Telephone: (Home) (Work) . (Mobile) Fax: COMPLETE THIS SECTION TO HAVE YOUR CORRESPONDENCE FORWARDED TO ANOTHER PERSON Company and contact name: _. Company Address: Postcode.• .... Telephone: F DETAILS OF REQUEST Please describe clearly what you want and include names of any other person(s) involved in incident, dates, times, locations and any other information which will help to identify the document(s). Your personal Involvement in this request must be included. • ST PIT et4E.NTS OF ‘,.“-I-Nesse-s N.Inriet it ketrictOr -1O C-HORGE5 • g.ec-orkos