Submission – Request for Assistance PAIA Report & Information Officer Registration

Unsure to fill out an online form? Do not hesitate to contact us on 061 515 5194 or sending an e-mail to marais@assentcompliance.co.za and we will send a form to you to complete.

1. Invoice Information:

a) Organisation / Practice Name:(Required)

b) VAT No:

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Email(Required)

c) Information Regulator’s certificate number

(only if your Information Officer is already registered with the Information Regulator)

d) Practice CIPC number

(only if your practice is registered with the Companies and Intellectual Property Commission’s Office (CIPC))

2. Other Information:

a) Practice name:

b) Trading name:

c) Practice email address:

d) Practice telephone number:

f) Postal address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3. Information Officer details:

ID number

Name

Prefix First Middle Last

Cell phone number

Designation

• Appointment date

4. Deputy Information Officer details:

ID number

Name

Prefix First Middle Last

Cell phone number

Designation

Appointment date

5. Information for PAIA report:

a) Did your practice receive any request for access to information in your practice in terms of the PAIA Act (that is where the requester complete Form 2: Request for Access to Information in terms of regulation 7 of he PAIA regulations):

The number of requests for access:

The number of requests for access refused in full and refused partially:

Do you have a PAIA Manual?

This field is hidden when viewing the form

Price

PAIA Report & Information Officer Registration

Price:

Total

Please remember to check your spam/junk folder for the confirmation e-mail and do not hesitate to contact us on 061 515 5194 or sending an e-mail to marais@assentcompliance.co.za if you have any enquiries.

Submission - Request for Assistance PAIA Report & Information Officer Registration

1. Invoice Information:

2. Other Information:

3. Information Officer details:

4. Deputy Information Officer details:

5. Information for PAIA report:

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