Form 1

REQUEST FOR ACCESS TO INFORMATION

Full Name *

Date of Birth

Sex

National ID Number

District

Institution

Postal Address

Physical Address

Telephone Number

Email Address

Institution

Please attach any documentation that indicates that you are authorized to act for the other person.

Name

Address

Identity Number

Provide Details About the Nature of Information Being Sought and Justification

Include relevant details that can help in retrieving the information, such as source, author, date of publication, etc.

Explain the Purpose for Which You Seek This Information and Why It Is Important That the Information Should Be Provided to You

State the format in which you want to access the information, e.g. print, electronic etc.

State the format in which you want to access the information:

Normal print version

Braille print version

Other (please specify):

Upload Supporting Documents

Maximum 5 files, 5MB each. Allowed: PDF, DOC, DOCX, JPG, PNG, GIF, TXT