Ghana

1.	*Type of Applicant	Individual Organization/Institution
2.	*Name of Applicant
3.	Date
4.	*Public Institution	Other Institution:
5.	*Date of Birth
6.	*Tax Identification Number
7.	*Id. No.
7(a).	*Type of Identification	National ID Card Passport Voter’s ID Driver’s License
7(b)	Upload Id photo	Clear All Files × images only!
8.	If Represented, Name of Person Being Represented
8(a).	Capacity of Representative
9.	*Description of the Information being sought (specify the type and class of information including cover dates. Kindly fill multiple applications for multiple requests)
10.	*Manner of Access	Inspection of Information Copy of Information Viewing / Listen Written Transcript Translated (specify language)
10(a).	*Form of Access	Hard copy Electronic copy Braille
11	*Contact Details	Email Address Postal Address Digital address Tel If you would like to receive email alerts kindly provide your email address*
12.	Applicant’s signature/thumbprint	Please use your mouse to sign in the signature space provided
13.	Signature of Witness (where applicable) “This request was read to the applicant in the language the applicant understands and the applicant appeared to have understood the content of the request.”