STAATSKOERANT, 9 MAART 2001 D. (a) No. 221 25 Particulars of record Provide full particulars of the record to which access is requested including the reference number if that is known to you, to enable the recordto be located. (b) I f the provided space is inadequateplease continue on a separate folio and attach it to thisfonn. The requester must sign allthe additionalfolios. L 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 requestfor access to a record, other than a record containing personal information about yourself; will be processed only afer a request fee has been paid. (b) You will be notijied of the amount required to be paid as the requestfee. (c) Thefee payablef o r access to a record depends .on theform in which access is required andthe reasonable time required to search for andprepare a record. (d) Ijfyou quallb for exemption of the payment of any fee, please state the reason therefor. Reason for exemption from payment of fees: - - ‘I1