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Form 04 PAIA Form 04 (Reg 9)

Official source

Source domain: dubetradeport.co.za

Collected on 28 June 2026

Always confirm details on the official source before acting.

What this means

This document is an Internal Appeal Form (Form 4) under Regulation 9 for PAIA requests. It collects details about the public body, the appellant, the person the appeal concerns, the decision being appealed, and grounds for the appeal, including options for notification and signatures. It also includes an official-use section to record the outcome of the internal appeal and whether new decisions are issued.

What this document offers

Read out of this document by Govermate's AI, in its own words. Each one quotes the line it came from — confirm on the official source before acting.

PAIA internal appeal submissionOngoing

Submit a PAIA internal appeal (Form 4, Regulation 9)

Use this Form 4 to lodge an internal appeal against a public body’s decision under PAIA. The form captures the public body and Information Officer, the appellant’s details (or third-party details if lodged on someone else’s behalf), the decision being appealed, the grounds for the appeal, and your preferred notification method. The public body records receipt and the outcome (confirmation or a new decision).

Who it is for
People lodging a PAIA internal appeal against a public body’s decision, including third parties lodging on behalf of another person
How to act on it
Complete Form 4 (Regulation 9) with the required particulars, mark the decision being appealed, provide grounds, indicate preferred notification method, and sign as the Appellant/Third party; if lodged on behalf of another person, attach proof of capacity if applicable.
Show the line this came from
INTERNAL APPEAL FORM FORM 4 [Regulation 9]

Key Takeaways

  • Reference Number
  • Public Body name
  • Information Officer name
  • Appellant full names
  • Appellant identity number
  • Appellant postal address
  • Appellant contact numbers
  • Lodged on behalf of another person (yes/no)
  • Person on whose behalf the appeal is lodged (name, identity number, postal address, contact)
  • Decision being appealed (Refusal of access; Fees; Extension; Section 29(3) refusal; Access granted)
  • Grounds for appeal
  • Preferred notification method (postal/electronic/facsimile)
  • Date and signature
  • Official use: Appeal received by (rank/name)
  • Date received
  • Outcome of appeal (refusal confirmed, fees confirmed, extension confirmed, access confirmed, new decision)