Date
........................................................................................................................
BRANCH / DIVISION / OFFICE
USER ID REQUEST FORM FOR
ACTIVE DIRECTORY DOMAIN SERVICES (ADDS)
USER’S FULL NAME
DESIGNATION
WORKSTATION’S NAME
IP ADDRESS
PIBS USER ID
EMAIL
PERSONAL FILE NO.
......................................... .........................................
Signature of the User Signature of
Branch/Division/Office
FOR THE USE OF INFORMATION TECHNOLOGY DIVISION
We, the undersigned opened the User ID .................................................... on .........../.........../............
for the user as given above with the due deligence and proper verification.
......................................... ........................................................
Signature of Desk Official Signature of System Administrator
Name: Name:
Designation: Designation:
Date: / / Date: / /