Annexure A

Personal Information Request Form

  • Please be aware that we may require you to provide proof of identification prior to processing your request.
  • There may also be a reasonable charge for providing copies of the information requested.
  • Your Details

  • A. Particulars of Data Subject

  • B. Request

  • C. Instructions

  • D. Signature

  • DD slash MM slash YYYY
  • This field is for validation purposes and should be left unchanged.

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