<p> Lj. F. Vukotinovića 2 · 10000 Zagreb</p><p>REQUEST FOR ACCESS TO INFORMATION</p><p>Submitter of request: ______First and last name, company ______Address or seat ______Phone Fax ______E-mail</p><p>Relevant data for the identification of the requested information ______</p><p>In the request you may specify in which way you would like to receive the information: 1. direct provision of information 2. written provision of information 3. insight into the documentation and photocopies of documents that contain the requested information 4. submission of copies of the documents 5. otherwise (please specify)</p><p>Institute for Development and International Relations, Lj. F. Vukotinovića 2, 10000 Zagreb, Croatia tel. +385 1 4877460, fax. +385 1 4828361, e-mail: [email protected], www.irmo.hr Note: The public authority is entitled to reimbursement of actual costs incurred by the applicant in connection with the provision of the information requested.</p><p>In ______, on ______Signature </p><p>Institute for Development and International Relations, Lj. F. Vukotinovića 2, 10000 Zagreb, Croatia tel. +385 1 4877460, fax. +385 1 4828361, e-mail: [email protected], www.irmo.hr</p>