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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

USER INFORMATION

barangaydilag13@gmail.com
HENRY
DAGGIT
BANGAO, JR
PUNONG BARANGAY

ACCESS RIGHTS

LGU-NGA/GOCC/GFI
Admin

ORGANIZATION

DILAG, TABUK CITY, KALINGA


DILAG, TABUKTABUK CITY, KALINGA
DILAG, TABUK CITY, KALINGA

LOCATION

CAR
KALINGA
TABUK

Signatories

HENRY DAGGIT BANGAO JR


PUNONG BARANGAY
JULY 11, 2022
HENRY DAGGIT BANGAO JR
PUNONG BARANGAY

CAR - KALINGA

- if you are from BTr and applying as user admin, please submit the accomplished form to issoliven@treasury.go
- if you are applying as NGA/LGU/GOCC/GFI user, please submit the accomplished form to your designated BTr
office
hdbangao,jr_car_kalinga__ad KALINGA KALINGA kalinga
BANGAO,JR BANGAO,JR bangao,jr

ov.ph
field office.
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

USER INFORMATION
xsoliven@gmail.com
Ian Hero
Santos
Soliven
Computer Programmer II

ACCESS RIGHTS
LGU/NGA/GOCC/GFI
Admin

ORGANIZATION
Department of Transportation
Land Tranportation Office
Manila Office

LOCATION
NCR
District 1
Manila

Signatories

(affix signature here)


Ian Hero Santos Soliven
Computer Programmer II
July 11, 2022
(affix signature here)
Edgar Galvante
Chief

issoliven_ncr_district1_nga_ad

NCR - District 1

- if you are applying as BTR admin, please submit the accomplished form to issoliven@treasury.gov.ph
- if you are applying as NGA/LGU/GOCC/GFI user, please submit the accomplished form to your designated BTr
office

NGA

LTO
District1 District1 district1
Soliven Soliven soliven

field office.

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