(Section 53 (1) of the Promotion of Access to Information Act, 2000)
(Act No. 2 of 2000)
[Regulation 10]
A. Particulars of Beiersdorf
Beiersdorf
Consumer Products (Proprietary) Limited
4th
Floor, Beacon Rock, 21 Lighthouse Road, Umhlanga Rocks, 4319
Information
Officer: Mr. Warren van Niekerk
Phone number: 031 267 6375 / 031 267 8500
E-mail
address: information.za@beiersdorf.com
B. Particulars of person requesting access to
the record
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. Proof of the
capacity in which the request is made, if applicable, must be attached.
Full names
and surname:
Identity number:
Postal address:
Fax number:
Telephone number:
E-mail address:
Capacity in which request is made, when made on behalf of another person:
C. Particulars of person on whose behalf
request is made
This section must be completed ONLY if a request for information is made
on behalf of another person.
Full names and
surname:
Identity number:
D. Particulars of record
a. Provide full particulars of the record to which
access is requested, including the reference number if that is known to you, to
enable the record to be located.
b. If
the provided space is inadequate, please continue on a separate folio and
attach it to this form. The requester must sign all the additional folios.
1. Description
of record or relevant part of the record:
2. Reference
number, if available:
3. Any further
particulars of record:
E. Fees
a. 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.
b. You will be
notified of the amount required to be paid as the request fee.
c. 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.
d. If you
qualify for exemption of the payment of any fee, please state the reason for
exemption.
Reason for
exemption from payment of fees:
F. Form of access to record
G.
Particulars of right to be exercised or protected
If the
provided space is inadequate, please continue on a separate folio and attach it
to this form. The requester must sign all the additional folios.
1. Indicate
which right is to be exercised or protected:
2. Explain why
the record requested is required for the exercise or protection of the
aforementioned right:
H. 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?