Request for Access to Records under the FOI Act, 1997
To: The Freedom of Information Officer,
The Development Centre, Mellows Campus, Athenry, Co. Galway.
Please use BLOCK letters
Applicant's Surname: |
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First Name : |
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Postal Address: |
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Telephone Number(s): | Home: |
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Business: |
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In accordance with section 7 of the FOI Act, I request access to records which are: (Please tick as appropriate) |
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Personal |
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Non-personal |
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In the space below, please describe the records as fully as you can. If you are requesting personal information, please state precisely in what name those records are held. You will not normally be given access to personal information of another person unless you have obtained the written consent of that person. Before you are given access to personal information relating to yourself, you may be asked to provide proof of your identity. |
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My preferred form of access is: (please tick as appropriate) | |||
To receive copies of the records by post | |||
Other (please specify) | |||
PLEASE SIGN HERE |
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DATE: |
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