REQUEST FOR ACCESS TO RECORDS HELD BY VODACOM
(Regulation 7 of the Promotion of Access to Information Act, 2 of 2000)
- Particulars of Vodacom
The Head: Vodacom
082 Vodacom Boulevard
Vodacom Valley
Midrand
1685
or
Private bag x 9904
Sandton
2146
Select Type of Request
Type of Request
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Where to send the request?
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Request for records or description of Personal Information that Vodacom holds about the Requester (any record excluding itemized billing older than 90 days, call data records, RICA / Ownership details)
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Use the various channels outlined on https://help.vodacom.co.za/personal/contactus?icmp=Home%2FFooter%2FContactUs
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Other requests of records held by Vodacom (any and all call data records, RICA / Ownership details and itemized billing older than 90 days, including third party requests)
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[email protected]
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- Particulars of person requesting access to the record
a) The particulars of the person who requests access to the record must be completed below
b) Proof of identity must be attached by the Requester
c) If request is made on behalf of another person, proof of such authorisation must be attached to this form
d) An affidavit as part of this form must be completed and signed where the request is made on behalf of another person
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Mark with an “X”
Request is made in my own name Request is made on behalf of another person
Full names and surname: _____________________________________________________________ Identity number: __________________________________________________________________
Postal address: : __________________________________________________________________ Fax number: ___________________________________________________________________
Telephone number: ____________________________________________________________
E-mail address: ___________________________________________________________________
Capacity in which request is made, when made on behalf of another person:
- 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
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Full names and surname: ____________________________________________________________ Identity number / Company Registration Number: __________________________________________
- Particulars of record requested
a) Provide full particulars of the record to which access is requested, including the reference number if that is known to you, to enable the record to be located.
b) If the provided space is inadequate, please continue on a separate page and attach it to this form.
The Requester must sign all the additional pages
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1) Description of record or relevant part of the record:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- Reference number, if available: ___________________________________________________
- Any further particulars of record: __________________________________________________
______________________________________________________________________________
- Type of Record
Mark the applicable box with an “X”
Record is in written or printed form
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Record comprises virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.)
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Record consists of recorded words or information which can be reproduced in sound
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Record is held on a computer or in an electronic, or machine-readable form
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- Form of access to record
Mark the applicable box with an “X”
Printed copy of record (including copies of any virtual images, transcriptions and information held on computer or in an electronic or machine-readable form)
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Written or printed transcription of virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.)
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Transcription of soundtrack (written or printed document)
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Copy of record on flash drive (including virtual images and soundtracks)
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Copy of record on compact disc drive (including virtual images and soundtracks)
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Copy of record saved on cloud storage server
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- Manner of Access
Mark the applicable box with an “X”
Personal inspection of record at registered address of Vodacom (including listening to recorded words, information which can be reproduced in sound, or information held on computer or in an electronic or machine-readable form)
Note: Call recordings will be made available to be heard at a Vodacom shop
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Postal services to postal address
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Postal services to street address
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Courier service to street address
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Facsimile of information in written or printed format (including transcriptions)
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E-mail of information (including soundtracks if possible)
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Cloud share/file transfer
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Preferred language:
Note: 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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- Particulars of right to be exercised or protected
If the provided space is inadequate, please continue on a separate page and attach it to this form. The Requester must sign all the additional pages
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- Indicate which right is to be exercised or protected:
__________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- Explain why the record requested is required for the exercise or protection of the aforementioned right:
__________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- Fees
a) A request for access to a record, other than a record containing Personal Information about yourself, will be processed only after a request fee has been paid
b) You will be notified of the amount required to be paid as the request fee
c) The fee payable for access to a record depends on the form in which access is required and the reasonable time required to search for and prepare such record
d) If you qualify for exemption of the payment of any fee, please state the reason for exemption.
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Reason for exemption from payment of fees:
_________________________________________________________________________________
- Notice of decision regarding request for access
You will be notified in writing whether your request has been approved/ denied. If you wish to be informed in another manner, please specify the manner and provide the necessary particulars to enable compliance with your request.
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How would you prefer to be informed of the decision regarding your request for access to the record? Select preference (Postal address, Fax, Electronic communication such as email)
____________________________________________________________________________________________________________________________________________________________________
Signed at this day of 20
______________________________________
SIGNATURE OF REQUESTER / PERSON
ON WHOSE BEHALF THE REQUEST IS MADE
AFFIDAVIT
I, the undersigned, ………………………………………………………. (Please insert full names) do hereby make oath and say:
1. I am an adult male/female residing at ………………………………………………………. I am the Requester in terms of the Promotion of Access to Information Act, No 2 of 2000.
2. The facts herein contained are true and correct and within my personal knowledge, unless indicated to the contrary, and are in all respects true correct.
3. I am the owner and user of a cellular telephone with cellular number_________________. I am duly authorised to lodge this request in terms of the Promotion of Access to Information Act, No 2 of 2000.
4. The information requested pertains to call data (details of outgoing calls and SMS’s as well as base station (tower) information on cellular number ……………………………… for the period between ………………… …………………….and ………………………. (also include time period as well).
5. My Identity number is ………………………………………………………… and I attach hereby a certified copy of my identity document.
6. I am the owner or authorised user of a Vodacom cellular telephone with cellular telephone number ______________________ allocated to me and I am duly authorised to consent to a third-party requesting information on my behalf in terms of the Promotion of Access to Information Act 2 of 2000.
7. I hereby confirm that I have given consent to _____________________________ request and receive information (which is more fully detailed in the document attached hereto and marked Annexure _____ which has been initialed by me for purpose of identification) from Vodacom LEA Support requested on my behalf in terms of the Promotion of Access to Information Act 2 of 2000. Furthermore, I hereby waive any rights that I may have against Vodacom in regard to any damages that I may suffer arising from the release by Vodacom LEA Support to ____________________________________ in the information referred to in Annexure _____
8. I am aware that I could be prosecuted for making a statement knowing it might be used in court proceedings and known by me to be false and intended to mislead.
I know and understand the contents of this statement. I have no objections in taking the prescribed oath. I consider the prescribed oath to be binding on my conscience.
SIGNED AT ___________________________ ON THIS _______________ DAY OF__________________ 20____
______________________________
Deponent (Signature of person
swearing or affirming the statement)
I certify that the deponent has acknowledged that he/she knows and understands the contents of this affidavit, which was signed and sworn to, before me at this ___________ day of ____________ 20___ and that he/she has no objection to taking the prescribed oath.
________________________________
(Signature Commissioner of Oaths or other official before whom the statement is sworn/affirmed). …………………………………………………..
Full Names and Surname
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Business Address (Street Address)
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