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    Ofb Enrollment Form

    Uploaded by

    Khail Redelosa

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Ofb Enrollment Form

    Uploaded by

    Khail Redelosa
    17 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    17 views2 pages

    Ofb Enrollment Form

    Uploaded by

    Khail Redelosa

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    You are on page 1of 2

    USER ENROLMENT FORM v2

    USER INFORMATION
    Email Address [email protected] [email protected]
    First Name RENSE e.g.: Ian
    Middle Name CARTAGENA e.g.: Santos
    Last Name DINGDING e.g.: Soliven
    Position Title Brgy. Soong, SK TREASURER e.g.: Computer Programmer II

    ACCESS RIGHTS
    Usergroup LGU/NGA/GOCC/GFI if LGU/NGA/GOCC/GFI: LGU
    System Role Admin

    ORGANIZATION
    Department Local Youth Development Council e.g.: Department of Transportation
    Agency (Whole Name) (Acronym) SANGGUNIANG KABATAAN SK e.g.: Land Transportation Office (LTO)
    Operating Unit BRGY. SOONG OFFICE e.g. : Manila Office

    LOCATION
    Region R11 e.g. : NCR
    Province/District DAVAO DEL SUR e.g. : District 1
    City/Municipality DIGOS CITY e.g. : Manila

    Signatories

    Signature of the User


    Fullname of User RENSE C. DINGDING
    Position of User SK TREASURER
    Date Filed (mm/dd/yyyy) February 22, 2024

    Signature of Head of Agency


    Fullname of Head of Agency DENZELL T. REDELOSA
    Designation of Head of Agency SK CHAIRPERSON

    this part is to be filled up by the BTr admin

    generated username Redz1107 DAVAODELSUR DAVAODELSUR davaodelsur


    date created (mm/dd/yyyy) February 22, 2024 DINGDING DINGDING dingding

    Signature of User Admin


    Fullname of User Admin JENELYN M. BULAN
    Designated BTr office R11 - DAVAO DEL SUR
    USER ENROLMENT FORM v1
    * all fields are required
    * Do not directly edit here. Download this sheet first, fill-up necessary fields, and submit to your BTr field office

    USER INFORMATION
    Email Address [email protected] [email protected]
    First Name Ian Hero e.g.: Ian
    Middle Name Santos e.g.: Santos
    Last Name Soliven e.g.: Soliven
    Position Title Computer Programmer II e.g.: Computer Programmer II

    ACCESS RIGHTS
    Usergroup LGU/NGA/GOCC/GFI if LGU/NGA/GOCC/GFI: NGA
    System Role Admin

    ORGANIZATION
    Department Department of Transportation e.g.: Department of Transportation
    Agency (Whole Name) (Acronym) Land Tranportation Office LTO e.g.: Land Transportation Office (LTO)
    Operating Unit Manila Office e.g. : Manila Office

    LOCATION
    Region NCR e.g. : NCR
    Province/District District 1 e.g. : District 1
    City/Municipality Manila e.g. : Manila

    Signatories

    Signature of the User (affix signature here)


    Fullname of User Ian Hero Santos Soliven
    Position of User Computer Programmer II
    Date Filed (mm/dd/yyyy) May 22, 2024

    Signature of Head of Agency (affix signature here)


    Fullname of Head of Agency Edgar Galvante
    Designation of Head of Agency Chief

    this part is for the BTr system admin

    generated username issoliven_ncr_district1_nga_ad District1 District1 district1


    date created (mm/dd/yyyy) Soliven Soliven soliven

    Signature of User Admin


    Fullname of User Admin
    Designated BTr office NCR - District 1

    - if you are applying as BTR admin, please submit the accomplished form to [email protected]
    - if you are applying as NGA/LGU/GOCC/GFI user, please submit the accomplished form to your designated BTr field office.

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