Request for Personal Information

Note:

Please only fill out this form if you're a private individual requesting information for yourself.
(a) The particulars of the person who requests access to the record must be given below.
(b) The address and/or fax number in the Republic to which the information is to be sent must be given.
(c) We may request further documentation, if applicable, in order to validate the identity of the requester.

Full Name and Surname of the Requester: *

Full ID Number or Passport Number of the Requester: *

Postal Address (within the Republic of South Africa) - for delivery of the requested information: *

Alternatively a Fax Number (within the Republic of South Africa) - for delivery of the requested information: *

Telephone Number

Email Address *

Particulars of record

(a) Provide full particulars of the record to which access is requested, including any specific details that are known to you (ie. Burner Bio details, Theme Camp name, filenames, etc.) to enable the record to be located.
(b) There's no limit to the amount of information you can request using this form, but you might find it easier to make multiple requests if you're looking for multiple pieces of information.

Description of record or relevant part of the record: *

URL (website address) related to the request:

Any further particulars of the record:

Form of access to record

If you are prevented by a disability to read, view or listen to the record in the form of access provided for in 1 to 4 hereunder, state your disability and indicate in which form the record is required. Please note: Compliance with your request in the specified form may depend on the form in which the record is available. Additionally, access in the form requested may be refused in certain circumstances. In such a case you will be informed if access will be granted in another form.

Please state your disability:

Please state the form in which information must be provided:

1. If the record is in printed or written form:

Copy of record
Inspection of record

2. If record consists of visual images:

View the images
Copy of the images*
Transcription of the images*

3. If record consists of recorded words or information which can be reproduced in sound:

Listen to the soundtrack
Transcription of the soundtrack*
Audio cassette or media file*

4. If record is held on computer or in an electronic or machine-readable form:

Printed copy of record*
Printed copy of information derived from record*
Copy in computer-readable form* (ie. flash drive, floppy disk, compact disc, etc.)

* If you requested a copy or transcription of a record (above), do you wish the copy or transcription to be posted to you (postage is payable)?

Yes
No

Particulars of right to be exercised or protected

Indicate which right is to be exercised or protected: *

Explain why the record requested is required for the exercise or protection of the aforementioned right: *

Notice of decision regarding request for access

You will be notified in writing whether your request has been approved/denied. If you wish to be informed 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? *

Signature of requester *

Request for Personal Information

Note:

Particulars of record

Form of access to record

Particulars of right to be exercised or protected

Notice of decision regarding request for access

Find your way

AfrikaBurn uses cookies and similar technology to collect and analyse information about the users of this website. We use this information to enhance the content and the experience of the site.

Please click ‘I Love Cookies’ to consent to the use of this technology by AfrikaBurn.

Remember that if you don't accept cookies, many aspects of the site will not work, and you may struggle to what you need to do.

Email us directly at [email protected] for more information or assistance.

Please read our cookie policy here.