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  • Fidelity Bond Admin Enrollment Form (Template)

    Uploaded by

    Mambog Sanggunian
    3K views1 page
    This admin enrolment form collects contact and organizational information from administrators to set up their access to a system. It requests the administrator's name, email, title, and organization details. It also specifies the usergroup and system role being assigned. Signatures are required from the administrator and their agency head to authorize the access.

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    Fidelity Bond Admin Enrollment Form (template)

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    This admin enrolment form collects contact and organizational information from administrators to set up their access to a system. It requests the administrator's name, email, title, and organization details. It also specifies the usergroup and system role being assigned. Signatures are required from the administrator and their agency head to authorize the access.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    3K views1 page

    Fidelity Bond Admin Enrollment Form (Template)

    Uploaded by

    Mambog Sanggunian
    This admin enrolment form collects contact and organizational information from administrators to set up their access to a system. It requests the administrator's name, email, title, and organization details. It also specifies the usergroup and system role being assigned. Signatures are required from the administrator and their agency head to authorize the access.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    ADMIN ENROLMENT FORM v1

    * all fields colored in pink are required

    ADMIN INFORMATION
    Email Address
    First Name
    Middle Name
    Last Name
    Position Title

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

    ORGANIZATION
    Department
    Agency (Whole Name) (Acronym)
    Operating Unit

    LOCATION
    Region
    Province/District
    City/Municipality

    Signatories

    Signature of the Admin


    Fullname of Admin
    Position of Admin
    Date Filed (mm/dd/yyyy)

    Signature of Head of Agency


    Fullname of Head of Agency
    Designation of Head of Agency

    this part is for the BTr system admin


    generated username ____ad
    date created (mm/dd/yyyy)

    Signature of User Admin


    Fullname of User Admin
    Designated BTr office -

    Send to: bulacan@treasury.gov.ph

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