Particulars Required in terms of the Section 51(1)(a) of PAIA

To confirm whose particulars to be included, in particular, telephone, email and fax
 

List of Records and Information

1. The information held by Vodacom has been divided into different categories grouped into twelve subjects, each of which describes a single business unit, for example, "Human Resources". For ease of understanding and navigation, an additional level has been added between the "subject" and "category" levels. This additional level describes more accurately the sub-set of categories that falls under it. For example, under the additional level, the subject "Performance and Remuneration" is made up of information categories describing payroll, bonus and incentives, and employee performance information.

2. The categories of information are not exhaustive but are merely meant to give a broad indication of the information subject and categories held by Vodacom, without specification. A category may therefore contain sub-categories and sub-sets of information, which are not specifically listed. (For purposes of the list of records and information held by Vodacom see Appendix A: Categories and Types of Information).

3. Purpose of processing

   In terms of POPIA, personal information must be processed for a specified purpose. The purpose for which personal information is processed by Vodacom will depend on the nature of the personal information and the particular data subject. This purpose is ordinarily disclosed, explicitly or implicitly, at the time the personal information is collected.

4. Access to personal information

   POPIA provides that a data subject may, upon proof of identity, request the responsible party to confirm, free of charge, all the information it holds about the data subject and may request access to such information, including information about the identity of third parties who have or have had access to such information.

   POPIA also provides that where the data subject is required to pay a fee for services provided to him/her, the responsible party must provide the data subject with a written estimate of the payable amount before providing the service and may require that the Requestor pay a deposit for all or part of the fee.

5. Categories of data subjects

   Vodacom holds information and records on the following categories of data subjects:

   • employees / personnel of Vodacom;

   • any third party with whom Vodacom conducts its business services;

   • contractors of Vodacom;

   • suppliers of Vodacom; and

   • service providers of Vodacom.

     (This list of categories of data subjects is non-exhaustive.)

6. The categories of recipients to whom the information is supplied

   Depending on the nature of the Personal Information, Vodacom may supply information or records to the following categories of recipients:

   • statutory oversight bodies, regulators or judicial commissions of enquiry making a request for data;

   • any court, administrative or judicial forum, arbitration, statutory commission, or ombudsman making a request for data or discovery in terms of the applicable rules (i.e. the Competition Commission in terms of the Competition Act No. 89 of 1998);

   • South African Revenue Services, or another similar authority;

   • anyone making a successful application for access in terms of PAIA; and

   • subject to the provisions of POPIA and the National Credit Act No. 34 of 2005, Vodacom may share information about a client's creditworthiness with any credit bureau or credit providers industry association or other association for an industry in which Vodacom operates.

7. Planned transborder flows of  information -

   If you are visiting our websites from a country other than the country in which our servers are located, the various communications will necessarily result in the transfer of information across international boundaries.

   We may need to transfer your information to other Vodacom or Vodafone group companies or service providers in countries outside South Africa, in which case we will fully comply with applicable data protection legislation. This may happen if our servers or suppliers and service providers are based outside South Africa, or if our services are hosted in systems or servers in Vodafone Operating Companies outside South Africa including Europe or India and/or if you use our services and products while visiting countries outside this area. These countries may not have data-protection laws which are similar to those of South Africa.

8. Security measures implemented to ensure the confidentiality and privacy of the information which is to be processed -

   We are committed to implementing leading data security safeguards.
   We have specialised security teams who constantly review and improve our measures to protect your personal information from unauthorised access, accidental loss, disclosure or destruction.

   If we have a contract with another organisation to provide us with services or a service on our behalf to process your personal information, we will make sure they have appropriate security measures and only process your information in the way we have authorised them to. These organisations won't be entitled to use your personal information for their own purposes. If necessary, our security teams will check them to make sure they meet the security requirements we have set.

   Communications over the internet (such as emails) are not secure unless they've been encrypted. Your communications may go through a number of countries before being delivered - as this is the nature of the internet. We cannot accept responsibility for any unauthorised access or loss of personal information that is beyond our control.

Entry Point for Requests for Information

In order to ensure that Vodacom complies with the Act, management has designated Vodacom Customer Care as the only entry point through which any request in terms of the Act must be channeled.

All requests in terms of the Act must be addressed to:

VODACOM CUSTOMER CARE

Physical Address
Vodacom Customer Care
082 Vodacom Boulevard, Vodacom Valley, Midrand, 1685                                                              Postal Address
Vodacom Customer Care
Private Bag X9904, Sandton, 2146

Other
Telephone: (082) 135

Electronic mail: [email protected] / [email protected]

Who May Request Information or Records

1. The purpose for which Information is required

   The Act provides that a person may only request information in terms thereof if that information is required for the exercise or protection of a right.

   Further, PoPIA provides that a Data Subject may, upon proof of identity, request the Responsible Party to confirm, free of charge, all the information it holds about the Data Subject and may request access to such information, including information about the identity of third parties who have or have had access to such information, and may, where necessary, request the correction, destruction or deletion of his or her personal information.  PoPIA further provides that where the Data Subject is required to pay a fee for services provided to him/her/it the Responsible Party:

   1. Must provide the Data Subject with a written estimate of the payable amount before providing the service; and

   2. May require that the requestor pay a deposit for all or part of the fee

2. Categories of Requestors

   The capacity under which a Requester requests documentation/ information will determine the category he or she falls in. Please note that the Requester category has a bearing on the conditions of access to the information.

   Requesters have been classified into four categories:

   1. A Personal Requester: requests information about himself/herself/itself.

   2. A Representative Requester: requests information relating to and on behalf of someone else.

   3. A Third Party Requester: requests information about another person.

   4. A Public Body: requests information in the public interest.

3. Third party notifications

   Where the records requested relates to third parties the Information Officer will take all reasonable steps to inform a third party to whom or which the record relates of the request. The third party will be informed as soon as reasonably possible, but within 21 days after that request is received and by the fastest means reasonably possible. When informing the third party about the information request the Information Officer will:

   • inform the third party that he or she is considering a request for access to its records and describe the content of the record; furnish the name of the requester;

   • describe the type of information in question;

   • if the disclosure is in the public interest, describe circumstances under which the disclosure is made

   • inform the third party that it may, within 21 days after the third party is informed:

     • make written or oral representations to the head why the request for access should be refused; or 

     • give written consent for the disclosure of the record to the requester.

Request Procedure

1. Completion of Form C

   Any request for information in terms of the Act must be submitted in terms of Form C (a copy of the form is enclosed as Annexure B hereto). These forms are available on request from Vodacom Customer Care and upon payment of a prescribed fee. The forms can also be downloaded from www.vodacom.co.za /www.vodacom.com.

   Form C must be completed in full and returned to Vodacom Customer Care at the address referred to in paragraph 6 above as soon as reasonably possible together with any other information that may be required in order to consider and decide on the request. A request which does not comply with the formalities contained in this Manual will be referred back to the Requester with advice on the necessary steps for compliance. This includes Forms that are not completed in full.

   The Affidavit contained in Form C must also be completed in full and signed by a Commissioner of Oaths,

2. Proof of identity

   Proof of identity is required to authenticate the request and the Requester. In view hereof, a Requester will, in addition to Form C, be required to submit acceptable proof of identity such as a certified copy of their Identity Document or other legal form of identification.

3. Vodacom Products

   In instances where information or records pertaining to any of Vodacom's products (other than marketing information) is requested, the Requester will have to prove ownership of the MSISDN (Mobile Station International Subscriber Directory Number) to which the requested information or records relate. The Requestor may also be required to provide further particulars to prove ownership or to provide an explanation why access to the identified records is required.

   Note:Information will not be furnished unless a person clearly provides sufficient particulars to enable the company to identify the right the Requester is seeking to protect as well as an explanation of why the requested information is required for the exercise or protection of that right.

4. Checklist for submission of information requests 

   1. Form C

      • Number B - particulars of person requesting access to the records

      • Number C - only if the request is a third party request

      • Number D1 - the time period as well as type of information required

      • Number D2 - the cell number or ref. number that was provided by Vodacom (if available)

      • Number E - exemption from paying the fees, if so the client will need to supply his/her salary advice and if the client is married, a copy of the spouse's salary advice will need to be supplied as well

      • Number F1 - copy in a computer readable form (memory stick or compact disc)

      • Number G1 - indicate which right is to be exercised or protected

      • Number G2 -  the reason for which this information is required (we will not accept 'personal reasons' as a reason)

      • Number H - preferred method of communication

      • Documentation signed and every page must be initialed.

   2. Affidavit

      • Number 3 - choose a, b or c

      • Number 6 - choose a, b or c

      • Number 7 - only in the case of a Third Party request

      • The affidavit must be commissioned by a Commissioner of Oath (eg SAPS or Notary).

   3. NB the following information must also be attached:

      • A certified copy of your identity document. Please also initial the identity document.

      • For pre-paid clients. A Vodacom prepaid certificate, if available. This must also be initialed.

      • Contract clients must supply a copy of their latest Vodacom statement. This must also be initialed.

      • If it is a company owned contract, a letter from the company providing permission for the release of this information must be provided.

 Request Fees

In terms of POPIA, a data subject has the right to request Vodacom to confirm, free of charge, whether or not it holds personal information about the data subject. However, both in terms of PAIA and PoPIA, Vodacom is entitled to levy a prescribed fee (as set out below) for the provision of records of personal information about the data subject or third parties in its possession.

The fees that may be charged have been published by the Minister of Justice and Correctional Services and are displayed below.
 

Granting or Refusal of Requests

1. All requests complying with the requirements set out above will be processed and considered expeditiously. 
   If the request for access is granted then Vodacom will advise the Requestor on the following:

   1. the prescribed fee for accessing the information or documentation

   2. payable deposit fee and balance outstanding

   3. the form in which access will be given

   4. the right to lodge an internal appeal against the access fee to be paid or the form of access to be granted.

2. If the request for access is refused then Vodacom will advise the Requestor about the reasons for refusal of access and may advice the Requestor to lodge an application with the Information Regulator  against the refusal of the request after the Requestor has exhausted all Vodacom's internal appeal process.  

3. Chapter 4 of the PAIA Act stipulates the following grounds for refusing requests for information:

   1. protection of the privacy of a third party who is a natural person

   2. protection of commercial information of a third party

   3. protection of certain confidential information of a third party

   4. protection of safety of individuals and protection of property

   5. protection of records privileged from production in legal proceedings

   6. commercial information of the Private Body

   7. protection of research information of a third party and of the Private Body.

4. These grounds of refusal are also endorsed under PoPIA.

5. Vodacom will give the Requester a written notice of the decision within 30 days after the decision is made. In case of a request being refused, the notification will include the reasons for the refusal. Vodacom may extend the 30 day notice period for a further period not exceeding 30 days due to the nature of the request and the amount of time required to gather the requested information. The Requester will however be given notice of the extension prior to the expiry of the 30 day period and provided with reasons for the extension.

Appeal/ Lodgment of Complaints

1. The Act makes provision for the lodgment of complaint against:

   1. Access fee charged or the form of access granted

   2. Refusal of the request to grant access

   3. Decision to extend the 30 days' period for granting the requested access

   4. Form in which access is granted

2. A complaint or an internal appeal must:

   1. be lodged within 30 days after the decision is communicated to the Requestor;

   2. be delivered or sent to the address, fax or electronic mail address contained in paragraph 6 above;

   3. identify the subject of the complaint or internal appeal and state the reasons for the complaint or internal appeal;

   4. be accompanied by the prescribed appeal fee as prescribed in paragraph 10 above;

   5. specify a postal address, fax number or electronic mail for the return of the decision.
      
      (see Annexure D for the copy of the form to be used in lodging the internal appeal)

3. Where, in addition to a written reply, the complainant/appellant wishes to be informed of the decision in any other manner he/she/it must state that manner and provide the necessary particulars to be so informed. 

   The complainant/appellant who is not happy with the decision of the internal process may lodge an application with the Information Regulator  against the decision made within 30 days after the decision was communicated to him/her/it. 

   Where the complaint or internal appeal is lodged after the expiry of the 30 days period the Information Officer may, on good cause shown, allow the late lodgment of the complaint or internal appeal.

Other information as may be prescribed

Section 51(1)(f) of the Act grants the Minister powers to publish a notice prescribing any other information that companies will have to disclose.

Availability of the Manual

As provided for in terms of section 51(2) of PAIA this Manual will be updated as and when the need arises and as soon as any amendments have been finalized the latest version of the Manual will be made public through:

The Vodacom website:www.vodacom.co.za /www.vodacom.com.

Alternatively, on request from:

The Information Officer

Vodacom Group Ltd
082 Vodacom Boulevard
Vodavalley Midrand
1685
Email: [email protected] ;

This Manual is available for inspection during office hours and at no charge. Should you wish to obtain a copy of this Manual or part thereto such copy can be obtained from either:

1. the address set out above subject to payment of applicable fees (refer to clause 9 above); or

2. downloaded from our website free of charge.

 Annexure A: Categories and types of Information that can be requested

1. Categories and type of records automatically available without having to request access to these records (Section 52(2) of  PAIA  read with regulation 9A to the PAIA )
   
   The PAIA makes provision for the automatic disclosure of certain records. These records need not be formally requested from Vodacom since they are automatically available from our website www.vodacom.co.za / www.vodacom.com

   The following are categories of records automatically available:
    

   Description  of category of records automatically available in terms of section 52(1)(a) of the PAIA Act	Manner of access to records (Section 52(1)(b)
   For inspection in terms of section 52(1)(a)(i)
   Product Information	Soft copy/website
   Public Customer Information	Softcopy
   Registers	Softcopy
   For copying in terms of section 52(1)(a)(ii)
   Annual Reports	Soft copy/website
   Financial Statements	Soft copy/website
   Available free of charge in terms of section 52(1)(a)(iii)
   Media Releases	Website/Soft copy

2. Categories and types of records that can be requested (section 51(1)(e) of the PAIA): 

   Vodacom maintains the types and categories of records as listed below. Each request for information will be dealt with on a case by case basis and the mere fact that a record is listed below does not mean that access to that record will be granted.

   The following are categories of records that can be requested from Vodacom:
   
   Business partners

   Information Category
    

   Information Category	Information Category Description
   Commercial agreement with business partners	This is the document, which records the agreement with the business partner, and is the output of contractual negotiations undertaken previously. It is co-owned by the business unit(s) involved and Legal Affairs Department.
   Contractual issues with Business Partners	All information related to reaching an agreement with a business partner, for example correspondence and minutes of meetings prior to the actual agreement, including details related to the agreement itself.

   
   Corporate Social Investment

   Information Category

   Information Category	Information Category Description
   Corporate Social Investment - Application for Funding	This details all Corporate Social Investment applications received for funding by Vodacom Foundation.
   Corporate Social Investment - Projects	Details of the projects that have been approved and are underway.
   Corporate Social Investment - Vodacom response	The information relating to process of approval or rejection of the applications received for Corporate Social Investment.

   
   External Communication

   Information Category	Information Category Description
   External Publication	All publications for external bodies, includes all press clippings
   Press Release/Communiqué	Issuing of media statements, press releases, official speeches etc.
   Web and Magazine Content	Content available on Vodacom internet sites (for e.g. vodacom.net) and magazines (for e.g. Vodaworld Magazine) as well as at POS (Point of Sale) Kiosks (e.g. at Vodaworld).

   
   Government Protocol

   Information Category	Information Category Description
   South African Government structure	Details of the structure and holders of the South African government
   South African Parliament structure	Details of the structure and holders of the South African parliament
   Visiting Foreign Governments structure	Details of the positions held by foreign government visitors to South Africa

   
   Legal

   Information Category	Information Category Description
   Finalised litigation	Litigation that has been concluded by court process or mutual consent

   
   Management

   Information Category	Information Category Description
   Board reports & meeting minutes	Reports prepared for the board meetings, and the subsequent minutes recording these meetings.
   Project Activity and Schedule	Details of projects (tasks, resources, dependencies, durations, etc.)
   Project Lifecycle and Macro Plan Information	This records the status and overarching objectives of the project.  Project planning is undertaken according to the "Manage by Project" standard and all projects are registered in a project register.

   
   Regulatory

   Information Category	Information Category Description
   Compliance certification	Compliance to international standards such as ISO9000 and COBIT
   Compliance to license	The criteria related to the Electronic Communication Services and Electronic Communications Network Service License conditions, as well as the performance against those conditions.  Some metrics are number of subscribers, network rollout, performance and coverage, community, customer care and emergency services, documented in the Compliance Reports submitted to the Independent Communications Authority of South Africa ("ICASA").
   Policies and procedures	The documented policies and procedures of Vodacom's business processes and practices, for example relating to customer complaints.

   
   Regulatory Submissions

   Information Category	Information Category
   Draft Legislations, Draft Regulations, Policy Directives	Information regarding Vodacom's position on  draft legislation, regulations and policy directives

   
   VIP events

   Information Category	Information Category Description
   VIP event management	Vodacom Events with business partners and other third parties and including staff functions of a high profile.

    

   
   Customer Information

   Information Category	Information Category Description
   Customer Contract Details	Contract customer details received during application process
   Customer Credit Checking	Criteria and results of the credit checking process for customers requiring a contract
   Customer Detail	All other customer details recorded during customer creation process, which are not covered by information categories Customer Contract Details and Customer Credit Checking, and including customer preferences.
   Customer passwords & identification	Passwords, for e.g. PIN and PUK, and identification required for release
   Customer Profile	Passwords, for e.g. PIN and PUK, and identification required for release
   Customer Type	Information relating to the customer type, for e.g. type of tariff plan.
   Loyalty Award	Information relating to awards given to loyal customers.
   Number and growth of subscribers	The count of active subscribers and prepaid customers as measured at a certain period, and the growth this reflects.
   Payment History	Information relating to payments made.
   Subscriber demographics	The subset of customer information which describes the demographic information of that subscriber.

    

   
   Customer Management

   Information Category	Information Category Description
   Churn	The number of subscribers and prepaid users disconnected from the network, expressed as a percentage of all subscribers and prepaid users.
   Customer Satisfaction Metrics	Research and measurement of customer satisfaction.
   Customer Segments/Markets	The categories into which the market (potential customers) and active customers are divided.
   Customer Sensitivity Analysis	The information measuring the customers' propensity to churn.
   Customer Survey	The information relating to a customer survey (survey, respondents, feedback etc.)

    

   
   Retail account

   Information Category	Information Category Description
   Account Holder	Information relating to the entity (individual or organisation) to whom the bill is addressed
   Account Information	Information about the account (balance, status etc.)
   Contract Customer Bill	The billing information prepared for post-paid customers
   Contract Payment	Payment details (payment date, amount, method etc.)
   Prepaid Customer Account Balance	Details of the prepaid customer's account balance

    

   
   Call Centre Management

   Information Category	Information Category Description
   Call Center Performance	The performance of the call centre in answering and resolving customer enquiries
   Call Centre Agent Schedule	The planned and actual schedule of call centre agents (includes bonus schedule).
   Call Centre Benchmark Result	The results of special tests (benchmarks) when performance is monitored for specific reasons

   
   
   Customer Interaction

   Information Category	Information Category Description
   Call Centre Call Data	The details of calls handled by the call centre (call centre agent, time, duration, query, etc.)
   Customer Complaint	Details of specific customer complaints which are (or have been) communicated to the Advertising Standards Authority, ICASA and the National Consumer Commission.
   Customer Frequently Asked Questions (FAQ) database	Information on the most frequently asked questions
   Customer Inquiry	Details of general customer inquiries
   Customer Service Request	The recording of an issue raised by a customer which requires attention.
   Outbound Response	Information relating to responses communicated to customers
   VIP customer complaints	The complaints of customers categorised as VIP customers

    

   
   Distribution Channel Management

   Information Category	Information Category Description
   Dealer Competitive Information	Information relating to the market conditions and environment for dealers
   Dealer Promotion	Information relating to dealer promotions (type of handset, price, conditions etc.)
   Field Marketing Executive (FME) Visit	Information relating to the visit of a FME (to a dealer)

    

   
   Distribution Channel Structure

   Information Category	Information Category Description
   Community Services' dealer commission	The commission paid to Community Services' dealers
   Community Services Phone Shop / Container	Information on Community Services phone shops (type, location, number of, size of, etc.)
   Dealer	Dealer information
   Franchise vetting	The criteria and results of the credit checking process for franchisees
   Franchisee	Franchisee information
   Independent Service Provider	Information about Service Providers who are independent of Vodacom Group (dual SPs)
   Outlet	Information about the outlet (location, size, type, etc.)
   Retailer	Retailer information
   Sales Cluster	The geographic area within South Africa in which a sale took place

    

   
   Accounting

   Information Category	Information Category Description
   Budget	Budget information (amount, code, responsibility)
   Cash / Bank Transaction	Information generated by a financial transaction as a result of the flow of information to or from Vodacom
   Creditor	Creditor information (name, amount, status, etc.)
   Debtor	Debtor information (name, amount, status, etc.)
   Electricity bill payment	Specific information generated with respect to the electricity consumed by Vodacom GSM network element devices installed on sites not owned by Vodacom, as well as electricity consumed in Vodacom's administrative buildings.
   Financial transactions	Information generated by a financial transaction
   General Ledger Account	General Ledger Account information (code, name, responsibility)
   Payment terms	The details of payment terms with creditors and debtors
   Property rental value	The rental paid / due from Vodacom sites
   Vodacom Invoice	Invoices from Vodacom to debtors

    

   
   Asset

   Information Category	Information Category Description
   Asset	All assets, including the financial aspect of IT or GSM equipment

    

    

   Financial Performance

   Information Category	Information Category Description
   Financial Management Statistics	The description, definition and measurement of financial metrics which measures the financial performance of the organisation and which are reported in the monthly management report
   Financial Target	The planned goal of a financial metric (for example "Earnings before Income Tax, Depreciation and Amortisation")

    

   
   Wholesale Bill

   Information Category	Information Category Description
   3rd Party Contract Wholesale Bill	Wholesale Billing information prepared related to contract customers' revenue, forwarded as invoices to Service Providers
   3rd Party Interconnect Bill	Billing information prepared for third party network operators related to calls which originated and/or terminated on their networks, also presented as invoices
   3rd Party Prepaid Wholesale Bill	Wholesale Billing information related to prepaid customers' revenue forwarded as invoices to Service Providers (for connection bonus purposes).

    

   
   GSM Device Site

   Information Category	Information Category Description
   Environmental Impact Assessment results	Information relating to Environmental Impact Assessments
   Environmental standards	The environmental standards within which Vodacom needs to construct sites (for example cellular masts).
   Site Detail	Details of the site of a Vodacom GSM network element
   Site Maintenance	Information relating to site maintenance
   Site Rollout Planned and Actual	This information is available regionally and nationally as part of the regional Project Management Work Order documentation. Available in hard copy format or software format.

    

   
   GSM Network and IT Configuration

   Information Category	Information Category Description
   Actual and Planned Coverage	The areas of South Africa where coverage on the Vodacom network is received
   GSM & Information Technology (IT) Network Device	This is any device on either the GSM or IT network.  Examples are MSC / BSC / cell for GSM and server / PC / software for IT network.
   GSM Network Equipment Configuration	The (initial) configuration and setup of GSM network equipment
   Handset Detail	Details on handset (Make, model, settings etc.)
   Information Technology (IT) Equipment Change History	Details of changes performed on Information Technology equipment
   Information Technology (IT) Equipment Configuration	The (initial) configuration and setup of Information Technology equipment
   Information Technology (IT) Performance Data	Measurements related to the performance of Information Technology equipment
   Internal e-mail - content and parties	Includes internet email originating from or terminating with Vodacom
   Voice Mail Configuration	The (initial) configuration and setup of voicemail equipment

    

   
   GSM Network and IT Statistics

   Information Category	Information Category Description
   GSM Network Capacity and Throughput Data	Information related to the capacity of the network (maximum planned) as well as the actuals being processed
   GSM Network Performance Data	Measurements related to the performance of GSM network equipment
   GSM Network Quality Indicator	Definitions and measurements of the quality of the network (for example number of dropped calls %)
   GSM Network Test Result	Results of GSM network tests
   Information Technology (IT) Capacity and Throughput Data	The measurement of IT equipment's performance.
   Raw GSM Network Statistics	The unprocessed data relating to measurement of the GSM network
   Transmission Performance	Measurements related to the performance of Transmission equipment

    

   
   Technical Alarm / Event

   Information Category	Information Category Description
   GSM Network Alarm and Event	The information relating to an alarm, which is generated, alerting support personnel to a failure (or possible failure) of an element or elements in the GSM network.
   GSM Network Equipment Fault History	The history of faults and resolutions relating to items of IT equipment
   Information Technology (IT) Alarm and Event	The information relating to an alarm, which is generated, alerting support personnel to a failure (or possible failure) of an element or elements in the IT network.
   Information Technology (IT) Equipment Fault History	The history of faults and resolutions relating to items of IT equipment

    

   
   Internal Communication

   Information Category	Information Category Description
   Internal Communiqué	The information contained within any internal communication, via email or physical (paper) distribution. Examples are e-mail, Yeboflash and Vodacom Express.
   Documentation	The dissemination and implementation of policy and procedure information
   Reference Material	Reference material used in internal communications
   Research Material	Reference material used in internal communications

    

   
   Organisation Structure and Position

   Information Category	Information Category Description
   Archive of Senior Management Photographs	Photographs of senior management
   Job Profiling	The categorisation of responsibilities associated with an employment position
   Organisational Structure	The structure of the organisation into business units, commonly depicted in an organogram.  This usually includes the top "n" levels of an organisation, for example the executive directors, name of departments reporting into their business units and position.
   Position	The title and responsibilities of employment positions, including information related to the role and current incumbents.  This includes information on contractors and other non-permanent staff members.

    

   Performance and Remuneration

   Information Category	Information Category Description
   Employee Performance Record	The records relating to the employee performance, for example performance awards
   Employee Timesheet Information	The records relating to the working hours' availability of an employee
   Payroll	All information related to payment of an employee, for example payment method, bank account details, payment amount, payment date
   Salary/Incentive/Bonus	Information related to the "package" of an individual, for example gross salary, PAYE amount etc.

    

   
   Personnel Detail

   Information Category	Information Category Description
   Curriculum Vitae (CV) and Application Detail	Details of applicants for employment, including CV details
   Disciplinary Record	Records of disciplinaries, for example, person, reason, status
   Employee Lifecycle Information	The information about an employee "life" at Vodacom, i.e. when joined, promoted, positions held etc.
   Employee Personal Detail	Personal details kept on employees, for example, next of kin

    

   
   Personnel Development

   Information Category	Information Category Description
   Employee Promotion criteria	The criteria for promotion
   Skill Level	The skills required for positions
   Training Event / Course	Details of training courses available and held

   
   
   Facility

   Information Category	Information Category Description
   Bookings & appointments	Details of bookings for infrastructure elements, for example parking for visitors or video conference facilitie
   Facility/Security Access Record	Records of access to buildings by individuals
   Loan Item	Items loaned to employees, for example training material
   Office Layout and Maintenance	Details on office layout and maintenance performed, for example air-conditioning maintenance

   
   
   Audit Information

   Information Category	Information Category Description
   Inspection/Audit Result	Results of inspections and audits
   Risk and Control	Details of known risks and measures to control those risks

    

   
   Contract/SLA Management

   Information Category	Information Category Description
   Service Level Agreement	The details of service levels agreed between two parties.
   Service Level Rating	The measurement of a service level's performance.
   Supplier and Partner Contract/Agreement	The contract between a supplier and/or a business partner.

    

   
   Inventory Control

   Information Category	Information Category Description
   Stock	The physical items required to be distributed throughout Vodacom, for example, SIM cards and Handsets distributed to the distribution channel outlets or the stock of equipment to upgrade the radio network stored in a warehouse distributed to the Network Operations' units.

    

   
   Procurement

   Information Category	Information Category Description
   Information Service Provider	The information about an information service provider.
   Manufacturer	Details related to a manufacturer who produces goods for Vodacom, for example Name, Address, Goods produced
   Procurement decisions	Information related to procurement decisions
   Request for Information (RFI)	Details contained within a request for information document, for example services and deliverables required
   Statement of Work	The details related to a Statement of Work, including the deliverable specifications, due date, price, risks etc
   Supplier	Details relating to Supplier for example, registered name, banking details, status
   Supplier demographics	Demographics of suppliers, with specific attention to the Historically Disadvantaged Individual (HDI) indicators
   Supplier Invoice	Details related to an invoice received from suppliers
   Vodacom Purchase Order	Details related to the purchase order process which controls the operational and capital expenditure of Vodacom

    

   
   Production

   Information Category	Information Category Description
   Operator Schedule	Details of Production and operators' schedules.
   Production Capacity and Throughput	Details of maximum production capability and current measurement of production.
   Production Schedule	Details of scheduled production.

    

   Product/Service Management

   Information Category	Information Category Description
   Bearer Service	A bearer service is a basic service that provides the capabilities for the transmission of information between user-network interfaces.
   Brand promotion	Information about promotions on Vodacom brands, including venue, date, format, leaflets, competition entry forms.
   Brand tracking & research	Research and measurement of Vodacom's brands, done formally quarterly.
   Price List (wholesale and retail)	Details of the available tariff plans, including prices, bundled minutes, services available etc
   Product Configuration	Covered in the TAPCM, tariff and product configuration management, which covers product planning, designing, packaging, technical development and supply for a product, for example "Starter Pack Vodago".
   Product Launch	Information related to the launch of a new or revamped product
   Product Life Cycle	The product life cycle is a sequence of stages (status) a product moves through from inception to decommissioning.
   Product Package & Media	Information related to the packaging of hardcopy or software (CDs) or tariffs or VAS or handsets or at point of sale.  Includes media strategy and planning information.
   Product Performance Information	The metrics and performance of products
   Product Specification	The specifications of a product
   Sponsorships	Information about the sponsorships Vodacom is involved with which leverage the brand.  These include Sport, cultural, CSR and broadcast.
   Value Added Service	The information about value added services, for example voicemail.

    

   
   Retail Sale

   Information Category	Information Category Description
   Customer Delivery	Information generated during a delivery of an item to a customer, for example delivery address of an upgrade handset
   Customer Order	Information on a customer order
   Point of Sale (POS) Merchandising material	All consumer educational literature, including leaflets, posters, in-kiosk branding, material from sponsorship properties such as Idols, Super 15 etc.

    

   
   Sales Management

   Information Category	Information Category Description
   Advertisements and Promotions	Information related to advertising schedules, standards & content, as well as management of advertising agencies
   Commission	Information on the commission a distribution channel receives for customer transactions, which may be a new subscription or usage.
   Incentive and Target	Information on the incentives and targets a distribution channel receives for customer transactions, which may be a new subscription or usage.
   Sales Figure and Target	Information on the actual sales as well as the target sales figures for the distribution channels

    

   
   Wholesale Sales & Distribution

   Information Category	Information Category Description
   Dispatch	The information generated during the dispatch of goods to the distribution channel.
   Wholesale Order (SIM card/Voucher)	Information on the orders received from distribution channel for SIM cards and vouchers.

    

   
   Fault

   Information Category	Information Category Description
   Diagnostic Support Information	The information generated by the diagnostic tests done on a faulty network element.
   Trouble Ticket	Information on the faults logged (manually or automatically) for example date and time logged, element involved, type of problem. Also known as a service request.
   Trouble Ticket Resolution	Information on the resolution of a trouble ticket, for example, time resolved.
   Works Order	The information on planned engineering activity to network elements in order to install, maintain or upgrade it.

    

   Service Event

   Information Category	Information Category Description
   Credit Card Recharge Transaction	The information generated during a credit card recharge transaction, for example date, amount.
   Provisioning Command (recharge event)	The information created during a recharge event, which is disseminated throughout the GSM network.
   Recharge Transaction	The information generated during a non-credit card recharge transaction, for example date, and amount.
   Service Event Information	The information related to events when services requested by a subscriber, for example, a request for the data service
   Subscription Item Activity	Information on activities (or events), which are related to the subscription, for example, SIM swap.

    

   
   Service Profile

   Information Category	Information Category Description
   Service Profile	The information on which services a subscriber has currently access to.
   Service Profile History	The history of events relating to service requests from subscribers

    

   
   Legal & Criminal

   Information Category	Information Category Description
   Procedures & policies with regard to stolen phones	The information on the specific procedures and policies relating to the recording or handling of stolen phones.
   Suspected Fraud Alert	The information on alerts, which are triggered when fraud is suspected.

   
   
   Usage Event

   Information Category	Information Category Description
   Call Data (Rated)	The information on call data which has been rated, i.e. billed according to the defined rules for the tariff which includes factors such as duration, time of day, called party, etc.
   Call Data (Unrated)	The raw call data before it has been rated, and which contains information such as duration, which network elements carried the call etc.
   GPRS Event Record	The information generated during a GPRS event.
   Short Message Service (SMS) Event Record	The information generated during an SMS event, for example, date and time, number SMS'ed etc.
   Traffic info	The information generated by aggregated traffic
   Voice Mail Event Record	The information generated during a voicemail event, for example voicemail box, date, time, message etc.

   
   
   Risk Management
    

   Information Category	Information Category Description
   Biometric Information	Information that personally identifies the customer/employee/third party/business partner based on physical or behavioral characterization including blood type, fingerprint, DNA Analysis, retinal scanning and voice recognition

3. Access to records held by Vodacom
   
   The following procedure must be followed when requesting information and/or documents:

   1. The request must be sent in the prescribed form. (The form can be downloaded from Vodacom's website at www.vodacom.co.za / www.vodacom.com).

   2.  The Request must be submitted to the Information Officer and sent to the address, fax number or electronic mail address as set out in paragraph 6 of the Manual.

   3. The Requestor must provide proof of identity of the person requesting the record

   4. If the request is made on behalf of another person, the Requestor must provide proof of the capacity in which he/she/it is making the request.

4. The following procedure will be followed by Vodacom after receipt of the request for access:

   1. Once a request is made, the Requestor will receive notice from Vodacom to pay the prescribed deposit fee

   2. The prescribed deposit fee must be paid before the request is processed

   3. Payment of this fee should be made as directed by the Information Officer

   4. After receiving payment of a deposit fee Vodacom will then make a decision in respect of the request and will notify the Requestor of the decision

   5.  Should the request be refused, the Requestor may lodge an application or appeal in accordance with paragraph 11 of the Manual  against the refusal of the request or payment of the requested fee and this will be advised in the notice to be sent to the Requestor (in terms of section 54(3) of the PAIA Act).

   6. If the request is granted then the Requestor might be required to pay a further access fee for the search, reproduction and preparation of the record as well as for the time that has exceeded the prescribed hours to search and to prepare the record for disclosure to the Requestor (in terms of section 54(6) of the PAIA Act).

   7. The fee schedule can be downloaded from the Department of Justice and Constitutional Development's website at www.justice.gov.za

Annexure B: Prescribed Form C
REQUEST FOR ACCESS TO RECORDS HELD BY VODACOM
(Section 53(1) of the Promotion of Access to Information Act, 2 of 2000) 

1. Particulars of Vodacom 
   Information Officer 
   Chief Officer: Legal and Regulatory Affairs c/o Information Officer
   082 Vodacom Boulevard 
   Vodacom Valley 
   Midrand 
   1685
   or 
   Private bag x 9904 
   Sandton 
   2146 
   Telephone number: 011 653 5000
   Fax number: 011 546 8137 
   Email: [email protected]

2. Particulars of person requesting access to the record
   
   The particulars of the person who requests access to the record must be given below
   The address and/or fax number in the Republic to which the information is to be sent must be given
   Proof of the capacity in which the request is made, if applicable, must be attached
    

   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:

3. 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

   Full names and surname:
   Identity number / Company Registration Number:

4. Particulars of record
   
   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.
   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
    

   Description of record or relevant part of the record:
   Reference number, if available:
   Any further particulars of record:

5. Fees
   
   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
   You will be notified of the amount required to be paid as the request fee
   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  
   If you qualify for exemption of the payment of any fee, please state the reason for exemption.
    

   Reason for exemption from payment of fees:

6. Form of access to record
   
   If you are prevented by a disability to read, view or listen to the record in the form of access provided for in 1 to 4 hereunder, state your disability and indicate in which form the record is required.
   
    

   	Disability:	Form in which record is required:
   	Mark the appropriate box with an X. NOTES: (a)Compliance with your request in the specified form may depend on the form in which the record is available. (b) Access in the form requested may be refused in certain circumstances. In such a case you will be informed if access will be granted in another form. (c) The fee payable for access to the record, if any, will be determined partly by the form in which access is requested.
   1	If the record is in written or printed form:
   		copy of record*	inspection of record
   2	If record consists of visual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.):
   		view the images	copy of the images*	transcription of the images*
   3	If record consists of recorded words or information which can be reproduced in sound:
   		listen to the soundtrack (audio cassette)	transcription of soundtrack*  (written or printed document)
   4	If record is held on computer or in an electronic or machine-readable form:
   		printed copy of record*	printed copy of information derived from the record*		copy in computer readable form*  (memory stick or compact disc)
   	*If you requested a copy or transcription of a record (above), do you wish the copy or transcription to be posted to you?   Postage is payable.				YES	NO

    

7. 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
   
    

   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:

8. 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.
   
    

   How would you prefer to be informed of the decision regarding your request for access to the record?
   Signed at                                      this                 day of                               20
   SIGNATURE OF REQUESTER / PERSON ON WHOSE BEHALF THE REQUEST IS MADE

   
   AFFIDAVIT
   Request for Access to record held by Vodacom
    

   I, the undersigned,      ........................................................................................................................................ 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. PART: A (Applicant) 2. The facts herein mentioned are within my personal knowledge, unless indicated to the contrary, and are in all respects true and correct. 3. I am the (please select one of the options):  (a)          sole owner and sole user of Vodacom Prepaid / Contract Account (b)          owner of Vodacom Prepaid / Contract Account. The sim card is not in my possession nor under my control  (c)          user of Vodacom Prepaid / Contract Account. The sim card is in my possession and under my control 4. The information requested pertains to call data on cellular number .........................................................................allocated to me and am duly authorised to lodge my request in terms of the Promotion of Access to Information Act, No 2 of 2000. 5. My Identity/passport number is...................................................... and I attach hereby a certified copy of my identity/passport document.   6. Please select one of the following: (a)          I also attach herewith a certified copy of the Vodacom prepaid certificate in respect of the number allocated, as stated above. (b)          I am unable to supply a Vodacom prepaid certificate in respect of the number allocated, but I am the owner and only user of the said phone. (c)          I am the owner and user of the contract number and the latest Vodacom Statement is attached. PART: B (Third Party Permission - if applicable) 7. I also declare that I am aware that ...................................................... requires information pertaining to cellular number...................................................... I hereby give permission to ....................................................................................................... to obtain the required information. 8. I know and understand the contents of this statement I have no objection in taking the prescribed oath I consider the oath to be binding on my conscience. ...................................................... DEPONENT I certify that the above statement was taken by me and that the deponent has acknowledged that he/she knows and understands the contents of this statement.  The statement was sworn to/affirmed to before me and deponents signature/mark/thumb print was placed thereon in my presence at ......................................................on....................................... at............h...................... SIGNATURE Commissioner of Oaths   ....................................................................................................... Full First Names and Surname   .......................................................................................................   .......................................................................................................   ....................................................................................................... Business Address (Street Address)

Annexure C: Some of the key pieces of legislation in terms of which Vodacom is obliged to retain information / records

Vodacom keeps information and/or documents in accordance with the following legislation (This is not an exhaustive list):

Annexure D: Notice of Internal Appeal

1. Particulars of the Information Officer
   
   The Information Officer 
   Vodacom Group Ltd 
   082 Vodacom Boulevard 
   Vodavalley 
   Midrand 
   1685 
   Fax number: 011 546 8137 
   Email: [email protected]

2. Particulars of the Complainant /Appellant
   
   Details of the complainant or person who lodges the internal appeal must be given below.
   Proof of the capacity in which the complaint/appeal is lodged, if applicable, must be attached.
   If the complainant/appellant is a third party and not a person who originally requested the information, the particulars of the requestor must be given in paragraph C below.
    

   Full names and surname:
   Identity number:
   Postal Address:
   Telephone number:
   Cellphone number:
   Fax:
   E-mail Address:

3. Particulars of the Requestor
   
   This section must be completed ONLY if a third party (other than the requestor) lodged the complaint/internal appeal

   Full names and surname:
   Identity number:

4. The decision against which the complaint/internal appeal is lodged

   Mark the decision against which the appeal is lodged with an X in the appropriate box
   	Refusal of request for access
   	Decision regarding fees prescribed in terms of section 54 of the PAIA Act
   	Decision regarding the extention of the period within which the request must be dealt with section 57(1) of the PAIA Act
   	Decision to grant request for access
   	Other

5. Grounds for complaint/appeal
   
   If the provided space is inadequate, please continue on a separate page and attach it to this form. You must initial and sign all additional pages.

   State the ground on which the complaint/appeal is based:
   State any other information that may be relevant in considering the appeal:

6. Notice of decision on complaint/appeal
   
   You will be notified in writing of the decision on your complaint/internal appeal. If you wish to be informed in another manner, please specify the manner and provide the necessary particulars to enable compliance with your request

   State the manner:
   Particulars of the manner:
   Signed at _________________________________ this _____ day of _________________ 20 _______
   Signature of the complainant/appellant

    

   FOR INTERNAL USE ONLY
   Appeal received on (date)
   Appeal received by
   Outcome of the complaint/Appeal
   New Decision:
   DATE	SIGNATURE OF THE INFORMATION OFFICER

Annexure E: Objection to the Processing of Personal Information

Note:

• Affidavits or other documentary evidence in support of the objection must be attached.

• If the space provided for in this Form is inadequate, submit information as an Annexure to this Form and sign each page

1.  Particulars of Vodacom
   
   Information Officer 
   C/O Chief Officer: Legal, Regulatory & Stakeholder Relations
   082 Vodacom Boulevard 
   Vodacom Valley 
   Midrand 
   1685
   or 
   Private bag x 9904 
   Sandton 
   2146 
   Telephone number: 011 653 5000
   Fax number: 011 546 8137 
   Email: [email protected]
    

2. Particulars of the Data Subject

   Full names and surname:
   Name of public or private body (if the responsible party is not a natural person):
   Identity / Registration number:
   Residential, postal or business address:
   Number:
   Phone number
   E-mail address:

3. Reasons for Objection (please provide detailed reasons for the objection)

   Reasons for Objection (please provide detailed reasons for the objection)

    

4. 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.
    

   How would you prefer to be informed of the decision regarding your request for access to the record?

    

5. Reference number, if available: 
    

   Reference number, if available: ______________________________________________________ Signed at ________________________ this __________ day of ___________________  20 ________      ____________________________  Signature of Data Subject (applicant)

   
   AFFIDAVIT

   	I, the undersigned,      ________________________________________________________________________________________________ do hereby make oath and say:
   1	I am an adult male/female residing at   ______________________________________________________________  I am the Data Subject in terms of the Protection of Personal Information Act, No 4 of 2013.
   PART: A (Data Subject)
   2	The facts herein mentioned are within my personal knowledge, unless indicated to the contrary, and are in all respects true and correct.
   3	I am the (please select one of the options):  sole owner and sole user of Vodacom Prepaid / Contract Account owner of Vodacom Prepaid / Contract Account. The sim card is not in my possession nor under my control  user of Vodacom Prepaid / Contract Account. The sim card is in my possession and under my control
   4	I object, on reasonable grounds, to the processing and/or further processing of my Personal Information: In possession or control of the Vodacom, unless legislation provides for such processing; For purposes of direct marketing other than direct marketing by means of unsolicited electronic communications. (Please select one of the above options)
   5	My Identity/passport number is _________________________________ and I attach hereby a certified copy of my identity/passport document.
   6	Please select one of the following: I also attach herewith a certified copy of the Vodacom prepaid certificate in respect of the number allocated, as stated above. I am unable to supply a Vodacom prepaid certificate in respect of the number allocated, but I am the owner and only user of the said phone. I am the owner and user of the contract number and the latest Vodacom Statement is attached.
   7	I know and understand the contents of this statement I have no objection in taking the prescribed oath I consider the oath to be binding on my conscience.	______________________________________ DEPONENT
   	I certify that the above statement was taken by me and that the deponent has acknowledged that he/she knows and understands the contents of this statement.  The statement was sworn to/affirmed to before me and deponent's signature/mark/thumb print was placed thereon in my presence at _______________________________________ _____________________________________________ on __________________________ at ________h __________
   	SIGNATURE Commissioner of Oaths
   	Full First Names and Surname
   	Business Address (Street Address)

Annexure F: Request for correction or deletion ppf Personal Information or Destroying or deletion of reocrd of Personal Information

Note: Affidavits or other documentary evidence in support of the objection must be attached.
If the space provided for in this Form is inadequate, submit information as an Annexure to this Form and sign each page

Mark the appropriate box with an "x". 
 

Request for: 

Correction or deletion of the personal information about the data subject which is in possession or under the control of the responsible party.  

Destroying or deletion of a record of personal information about the data subject which is in possession or under the control of the responsible party and who is no longer authorised to retain the record of information

1.  

   Particulars of Vodacom 
   
   Information Officer 
   
   C/O Chief Officer: Legal, Regulatory & Stakeholder Relations
   082 Vodacom Boulevard 
   Vodacom Valley 
   Midrand 
   1685
   or 
   Private Bag x 9904 
   Sandton 
   2146 
   Telephone number: 011 653 5000
   Fax number: 011 546 8137 
   Email: [email protected]

2.  

   Particulars of the Data Subject
    

   Full names and surname:
   Name of public or private body (if the responsible party is not a natural person):
   Identity/Registration number:
   Residential, postal or business address:
   Fax number:
   Phone number
   E-mail address:

3. Reasons for correction or deletion of the personal information about the data subject/*destruction or deletion of a record of personal information about the data subject which is in possession or under the control of the responsible party. (please provide detailed reasons for the request)
    

   Reasons for correction or deletion of the personal information about the data subject/*destruction or deletion of a record of personal information about the data subject which is in possession or under the control of the responsible party. (please provide detailed reasons for the request)

    

4. 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.
   
    

   How would you prefer to be informed of the decision regarding your request for access to the record?

5. Reference number, if available: 
   
    

   Reference number, if available:

   Signed at ________________________ this __________ day of ___________________  20 ________

   Signature of Data Subject (applicant)

   
   AFFIDAVIT

   I, the undersigned,      ________________________________________________________________________________________________ do hereby make oath and say: 1. I am an adult male/female residing at   ______________________________________________________________  I am the Data Subject in terms of the Protection of Personal Information Act, No 4 of 2013. PART: A (Data Subject) 2. The facts herein mentioned are within my personal knowledge, unless indicated to the contrary, and are in all respects true and correct. 3. I am the (please select one of the options):  (a)             sole owner and sole user of Vodacom Prepaid / Contract Account (b)             owner of Vodacom Prepaid / Contract Account. The sim card is not in my possession nor under my control  (c)             user of Vodacom Prepaid / Contract Account. The sim card is in my possession and under my control 4. I request Vodacom to: correct or delete my Personal Information in its possession or under its control; destroy or delete a record of my Personal Information which it is no longer authorised to retain. (Please select one of the above options)  5. My Identity/passport number is _________________________________ and I attach hereby a certified copy of my identity/passport document. 6. Please select one of the following: (a)             I also attach herewith a certified copy of the Vodacom prepaid certificate in respect of the number allocated, as stated above. (b)             I am unable to supply a Vodacom prepaid certificate in respect of the number allocated, but I am the owner and only user of the said phone. (c)             I am the owner and user of the contract number and the latest Vodacom Statement is attached. 7. I know and understand the contents of this statement I have no objection in taking the prescribed oath I consider the oath to be binding on my conscience. ______________________________________ DEPONENT I certify that the above statement was taken by me and that the deponent has acknowledged that he/she knows and understands the contents of this statement.  The statement was sworn to/affirmed to before me and deponent's signature/mark/thumb print was placed thereon in my presence at _______________________________________ _____________________________________________ on __________________________ at ________h __________   ....................................................................................................... SIGNATURE Commissioner of Oaths   ....................................................................................................... Full First Names and Surname   .......................................................................................................   .......................................................................................................   ....................................................................................................... Business Address (Street Address)