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FORMULIR USER iNeOM

*Note: requestor wajib mengisi form untuk huruf yang dicetak biru
AREA Kantor Pusat Regional I Regional II Regional III Regional IV Regional V Regional VI Regional VII X Regional VIII Regional IX Regional X Regional XI
IDENTITAS REQUESTOR PENGESAHAN
Nama Lengkap : NOPIRMAN Approver Nama Email Phone Approval
Status

Jenis Kelamin : L Requester NOPIRMAN AZZHURA1@GMAIL.COM 081257081606


Tanggal Lahir : 09 NOVEMBER 1992 Superior
No Kartu Identitas : 3301050911920007 Reviewer-1
Perusahaan : PT. Telkominfra Reviewer-2
NIK : 3301050911920007
Admin iNeOM
Posisi Jabatan : Team leader
Dept/Divisi : Project Telkomsel CATATAN
Lokasi/Lantai : KALIMANTAN
RTP/Cluster : -
Phone : 081257081606
Email Kantor : AZZHURA1@gmail.com
Waktu Akses : 12 Bulan
Akses Mobile – IMEI 1 : 867745058265788
Akses Mobile – IMEI 2 : 867745058265798
Akses Mobile – IMEI 3 :

JENIS REQUEST
V
User Baru Perubahan User Deaktivasi User

KEPERLUAN AKSES USER


Incident Management ADMIN USER
V Asset Management Site Maintenance Incident Remedy
Username :
Password :
PRIVILEGE
Group :
Viewer Admin HQ Comment :
V Mitra Regional Section

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