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PATI Request

Details of Requester

Title(*)
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Surname(*)
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First Name(*)
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Middle Name(*)
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Parish(*)
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Email(*)
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Telephone
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Details/Record(s) Requested

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Please describe the record(s) you are requesting. Be as specific as possible as this would assist the request process. Include details on the subject matter of the request and the time frame to which the request refers. Include dates and any known documents. If you are making a request for personal information, please include the following: The full name of the person to whom the information relates. - OR - The authority which entitles you to apply on behalf of the person (if a third party).

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I wish to receive a copy/copies of the record(s) in the following formats

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Number of copies required(*)
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I want the physical copies of the record(s) to be(*)

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I agree that the information I have submitted it accurate(*)
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