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FOI Application Form
DFA request form for freedom of information
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FOI REQUEST FORM
Department of Foreign Affairs
2330 Roxas Boulevard., Pasay City
Title of the Document:
_____________________________________________
Year:
_____________________________________________
Purpose:
________________________________________________________
________________________________________________________
________________________________________________________
Name:
________________________________________________________
Signature:
______________________
Address:
________________________________________________________
Email:
______________________
Proof of Identity:
Date: ________________________
Contact Nos. __________________
Passport No.
Driver's License
Others, please specify
(must be Filipino citizen)
__________________
__________________
__________________
How would you like to receive the information:
Email
_______________________
Postal Address
_______________________
Pick-up (office hours)
_______________________
---------------------------------------------------------------------------------------------------------------TO BE COMPLETED WHEN FOI REQUEST IS SUBMITTED TO FSP/RCO/SCO
Submitted to:
________________________________________
(Name and Signature of designated FSP/RCO/SCO officer)
Date/Time of Submission:
________________________________________
Date/Time of Transmittal to FRO in the Home Office: ______________________
CONTACT DETAILS OF FSP/RCO/SCO:
---------------------------------------------------------------------------------------------------------------TO BE COMPLETED BY FRO - DFA MANILA
Received from:
Directly from requesting party (for requests submitted in DFA-Manila)
FSP/RCO/SCO, please specify _____________________________
Received by: ________________________________________
(Name and Signature FRO-DFA Manila officer)
Date/Time of Receipt :________________________________________________
Action/Remarks:
Info requested is available online/publicly at
_____________________________
Request is similar to an earlier request acted on by the DFA
Info requested is under services of _________ and will be referred to that office/agency
Request will be endorsed to the appropriate DFA office
CONTACT DETAILS OF FRO - DFA MANILA:
A copy for the requesting party as proof of receipt
