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Section 15 - Institute of Technology Blanchardstown

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Appendix D: Request for access to records under FOI (1997)<br />

Please use BLOCK CAPITALS throughout.<br />

Full Name (Mr/Ms/Mrs):<br />

________________________________________<br />

Address:<br />

____________________________________________________<br />

Daytime Phone No. ______________________________________________<br />

Signature:<br />

Date:<br />

____________________________________________________<br />

____________________________________________________<br />

If making the request on behalf <strong>of</strong> an Organisation/Company please state:<br />

Name <strong>of</strong><br />

Organisation/Company:<br />

Position you hold within<br />

Organisation/Company:<br />

________________________________________<br />

________________________________________<br />

DETAILS OF REQUEST<br />

In accordance with <strong>Section</strong> 7 <strong>of</strong> the Freedom <strong>of</strong> Information Act (1997), I<br />

request access to records concerning matters which are:<br />

Personal<br />

Non-Personal<br />

(Please tick as appropriate)<br />

--------------------------------------------------------------------------------------------<br />

I wish to receive copies <strong>of</strong> the record(s) listed below.<br />

or<br />

I wish to inspect the record(s) listed below at your <strong>of</strong>fice.<br />

--------------------------------------------------------------------------------------------<br />

- 51 - 21/08/08

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