PAIA Form 2 — Request for Access to Record

Private Body to Whom This Request Is Directed

Entity name

Ops-Ease (Pty) Ltd

Information Officer

TA Mkabela

info@ops-ease.co.za (subject: "PAIA Request")

Website

www.ops-ease.co.za

Operating area

City of Johannesburg & City of Tshwane, Gauteng

How to complete this form: All sections marked with * are mandatory. Complete all fields clearly in block letters. Attach certified copies of all required supporting documents. Email the completed form to info@ops-ease.co.za with the subject line "PAIA Request". A request fee of R140.00 is payable before processing begins. Responses will be provided within 30 days of receipt of a complete request.

Details of Person Requesting Access (Requester)

Full name *

ID number / Passport number *

Capacity in which request is made *

In my own name

On behalf of another person

On behalf of a juristic person

If acting on behalf of another — name of person or entity

Postal / physical address *

Email address *

Contact telephone / WhatsApp *

Description of Record(s) Requested

Description of the record(s) you are requesting access to *

Reference number or case number (if known)

Approximate date of the record (if known)

Preferred Form of Access to the Record

Select your preferred format. Access will be provided in the requested form if reasonably practicable. If not, the Information Officer will advise of an alternative.

Electronic copy by emailPDF or scanned copy sent to your email address

Printed copyPrinted and posted or collected at agreed location

Inspection in personView the record at a mutually agreed location during business hours

OtherSpecify below

If "Other" — specify preferred access format

Right Being Exercised and Reason for Request

In terms of Section 53(2)(d) and (e) of PAIA, you must indicate the right you are seeking to protect or exercise, and explain why the requested record is necessary to protect or exercise that right. Failure to provide sufficient reasons may result in the request being declined.

Right being protected or exercised *

Reason the record is necessary to protect or exercise that right *

Does the record contain personal information about yourself?

Yes — it contains my own personal information

No — it relates to another person or a third party

Supporting Documents

Please attach certified copies of the following. Your request cannot be processed without the mandatory items.

Certified copy of IDSouth African ID document or valid passport — mandatory

Power of AttorneyRequired if acting on behalf of another person

Resolution or authorisationRequired if acting on behalf of a company or close corporation

Other supporting documentsAny additional documents supporting your right or reason

List any additional documents attached

Fees

A request fee of R140.00 is payable before processing begins. Access fees (copying, printing, inspection) are payable before the record is released. Fees are prescribed by the Information Regulator and are subject to change.

Fees may be waived if: (a) the request is made by the data subject for their own personal information; or (b) other circumstances prescribed by the Regulations apply.

Do you wish to apply for a fee waiver?

Yes — state grounds below

No — I will pay the prescribed fees

Grounds for fee waiver (if applicable)

Declaration by Requester

I, the undersigned, hereby declare that:

The information provided in this form is true and correct to the best of my knowledge
I am the person named in Section A, or I am duly authorised to act on behalf of the person or entity named therein
I understand that a deliberately false statement may constitute a criminal offence under PAIA
I understand that providing access to a record does not constitute an acknowledgement by Ops-Ease of any right, claim, or entitlement
I consent to the processing of my personal information contained in this form for the purpose of responding to this request, in accordance with POPIA (Act 4 of 2013)

For Office Use Only — Do Not Complete

Date received

Reference number assigned

Request fee received (R140)

Response due date (30 days)

Decision: Access granted / refused

Handled by

How to submit this form

By email: Complete this form, print and sign it (or sign digitally), and email it with all supporting documents to info@ops-ease.co.za. Use the subject line: "PAIA Request — [Your Name]"

Response: We will acknowledge receipt within 3 business days and respond within 30 days of receiving your complete request and payment of the request fee.

Further information: For assistance completing this form, contact us at info@ops-ease.co.za or visit our PAIA Manual for a full explanation of the request process and prescribed fees.

If you are not satisfied with our response, you may approach the Information Regulator of South Africa at www.inforegulator.org.za.