Reference number:___________
(state
rank, name and surname of information officer/deputy information officer) on
____________________________(date) at____________________ (place).
Request fee (if any): R
___________
Deposit fee (if any): R
___________
Access fee: R ___________
__________________________
SIGNATURE OF INFORMATION
OFFICER/DEPUTY
INFORMATION OFFICER
A.
Particulars of public body
The Information Officer/Deputy
Information Officer: Dr Faroon Goolam
Nelson Mandela Metropolitan University
University Way
Port Elizabeth
6031
Telephone: 27415041111
Fax: 27415042574
Email: info@nmmu.ac.za
B.
Particulars of person requesting access to the record
Full names and
surname: South
African History Archive (SAHA)
Identity/Passport
number: Non-Profit Trust No. 2522/93
Postal address: P.O.Box 31719, Braamfontein, 2017
Fax number: +27866491491
Telephone number: +27117182563
E-Mail Address:foip@saha.org.za
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
Request for all records
detailing the number of students who have been academically excluded or
expelled due to their involvement in the #FeesMustFall
protests in 2015/16, please be sure to include:
1. Copies of the guiding procedures, disciplinary policies or other sanctioning
measures that were followed or used in the academic exclusion and expulsion
processes;
2.The areas of study that the activists were undertaking prior to academic
exclusion or expulsion; and
3. The number of academic study years the student activists had completed prior
to being excluded or expelled.
E.
Fees
Reason for exemption from
payment of fees:
F. Form of access to record
|
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Disability: _________________ |
Form in which record is
required: _______ |
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Mark the appropriate box
with an “X”.
case you will be informed if access will be granted
in another form. |
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1.
If the record is in printed form: |
|||||||||||||||||
X |
Copy of record* |
|
Inspection of record |
||||||||||||||
2.
If record consists of visual images: |
|||||||||||||||||
|
view the images |
X |
copy of the images* |
|
transcription of the images* |
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3.
If record consists of recorded words or information which can be reproduced
in sound: |
|||||||||||||||||
|
Listen to the soundtrack
(audio cassette) |
X
|
transcription of soundtrack* |
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4. If record is held
on computer or in an electronic or machine ? |
|||||||||||||||||
|
Printed copy of record* |
X |
Printed copy derived from the
record* |
|
copy in computer readable
form*(stiffy or compact disc) |
||||||||||||
* If you requested a copy or
transcription of a record (above), do you wish the copy or transcription to
be posted to you? A postal fee is
payable. |
YES |
NO X |
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Note that if the record is
not available in the language you prefer, access may be granted in the
language in which the record is available. |
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In which language would you
prefer the record? ENGLISH |
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You will be notified in writing whether your request has been approved/denied. If you wish to be informed thereof 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?
IN WRITING via email to
foip@saha.org.za
Signed at this 13th of June
2018.
SIGNATURE OF REQUESTER / PERSON
ON WHOSE BEHALF REQUEST IS MADE
Mrs Yewande
Abiodun (Legal Officer)
South African History Archive
(SAHA)