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FOI Request Form
OWWA request form for freedom of information
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PORMULARYO NG KAHILINGAN (FOI)
FOI Request Form
TITULO NG DOKUMENTO / (Title of the Document):
_________________________________________________________
MGA TAON/PANAHONG SAKLAW / (Year):
________________________________________________________
LAYUNIN / (Purpose): Paki-detalye paggagamitan ng hinihinging impormasyon. Please discuss the basis of requested
information.
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
PANGALAN / (Name):
_________________________________
CELL/LANDLINE
Nos.
__________________________________
LAGDA / (Signature):
_________________________________
PETSA / (Date):
__________________________________
TIRAHAN / (Address):
_________________________________
KATIBAYAN NG PAGKAKAKILANLAN/ (Proof of Identity):
Passport No.
_________________
Driver’s License
_________________
Other government issued ID,
specify
PARAAN NG PAGTANGGAP NG IMPORMASYON O
KASAGUTAN (How would you like to receive the information?)
Email
__________________
Fax
__________________
____________ Postal Address
____________ Text Message
Pick-up (Office hours)
________ ______ ______ ______ ______ ______ _____
_________________
__________________
Gawaing itinalaga kay:
(Submitted to)
Petsa/Oras ng Pagkatalaga:
_________________________________________________________________
(Lumagda sa ibaba ng pangalang nakalimbag)
_________________________________________________________________
(Date / Time of Submission)
Taong nagpapatunay ng Gawaing Natapos: ________________________________________
(Certified by)
_______________________________________
(Lumagda sa ibaba ng pangalang nakalimbag)
Uri ng isinagawang aksiyon:
_________________________________________________________________________
(Type of action conducted)
Iniskedyul ni / (Received by):
______________________________
FOI Receiving Officer........
Remarks:
_________________________
