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General Information Request

Data Requestor

Requester Name

Job title

Entity Name

Phone Number

Address

Requested Information

Reason for Information Request

Legal Justification

Document

One file only.
64 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Description

Acknowledgment

I acknowledge to use requested information as specified in the reason for request above

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