ANNEXURE B IN TERMS OF NOTICE 187 OF GOVERNMENT GAZETTE OF 15 FEBRUARY 2002

FORM B

NOTICE OF INTERNAL APPEAL

(Section 75 of the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000))
[Regulation 6]
 

A. Appeal record
NOTE: A person who lodges an internal appeal may have to pay an appeal fee.
If an appeal fee is payable, the decision of the internal appeal may be deferred until the fee is paid.
Appeal date 2018/07/16
Reference number  
  B. Particulars of public body
The Information Officer / Deputy Information Officer  
  C. Particulars of requester/third party who lodges the internal appeal
(a) The particulars of the person who is lodging the internal appeal, must be completed below.
(b) Proof of the capacity in which appeal is lodged, if applicable, must be attached.
(c) If the appellant is a third person and not the person who originally requested the information, the particulars of the requester must be stated at D below.
Full names and surname  
Identity number  
Postal address  
Fax number
Telephone number  
Email address  
Capacity in which an internal appeal on behalf of another person is lodged  
  D. Particulars of requester
This section must be completed ONLY if a third party (other than the requester) is lodging the internal appeal
Full names and surname
Identity number
  E. The decision against which the internal appeal is lodged
Select the decision against which the internal appeal is lodged in the appropriate box



  F. Grounds for appeal
IF THIS FORM IS PRINTED OUT AND SUBMITTED MANUALLY:
If the provided space is inadequate please continue on a separate folio and attach it to this form. You must sign all the additional folios.
If attachments need to be send electronically, please forward it via email to paia@eskom.co.za and quote the Reference Number.
State the grounds upon which the internal appeal is based
State any other information that may be relevant in considering the appeal
  G. Notice of decision on appeal
You will be notified in writing of the decision on your internal appeal.
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.
State the manner
Particulars of manner
Submitted at  this 16 July 2018  
Full name of appellant  
  H. Web form security
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