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FidBond Enrolment Form (Template) New
FidBond Enrolment Form (Template) New
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
- 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
- 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.