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FidBond Enrolment Form (Template) New

This document is a user enrollment form containing fields for a user's personal information, organization details, location, and required signatures. It explains that the form needs to be downloaded, filled out, and submitted to the appropriate Bureau of the Treasury field office depending on if the user is applying as a system administrator or regular user from a government agency.

Uploaded by

Joji Marie Castro Palec
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
766 views4 pages

FidBond Enrolment Form (Template) New

This document is a user enrollment form containing fields for a user's personal information, organization details, location, and required signatures. It explains that the form needs to be downloaded, filled out, and submitted to the appropriate Bureau of the Treasury field office depending on if the user is applying as a system administrator or regular user from a government agency.

Uploaded by

Joji Marie Castro Palec
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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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 office

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

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

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

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

Signatories

Signature of the User


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

Signature of Head of Agency


Fullname of Head of Agency
Designation of Head of Agency

this part is to be filled up by the BTr admin

generated username ____


date created (mm/dd/yyyy)

Signature of User Admin


Fullname of User Admin
Designated BTr office -

- if you are from BTr and applying as user 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.
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) September 24, 2021

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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