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GHILMIS USER SET-UP AND UPDATE FORM

Important!
1. This form should be completed in CAPITAL LETTERS and signed by the Head of Facility
2. The completed form should be submitted to ghilmis@moh.gov.gh; eabrahadjei@chemonics.com; ghilmis WhatsApp platform

Facility/ Department /Organization/Site Name: ……………………………………….………………………………………


User Details
First Name………………………………………………. Last Name………………..…………………………………
Other Name(s)……………………………………. …… Gender………………..……………………………………
Job Title/Role…………………………………………… Email……………………………………………………….
Existing Username……………………………………… Signature of user: .……………………………………...
Please Tick Where Appropriate
New User Existing User Terminate/Suspend User Account Activation

Module Name
(a) Order Management (b) Inventory Management (c) Warehouse Management
(d) Transportation Management (e) Administration (f) Financials

Role Name Add Remove Employment Status Requested By: (Unit Head)
Customer Order Admin Permanent Name.………………………………
Customer Order Manager National Service Job Title…………………………….
Supplier Order Admin Internship Signature………………………….....
Supplier Order Manger Contract Date…………………………………
Enterprise Administrator
Supply Chain Administrator
Transportation Manager
Warehouse Manager Authorized By: (Facility Head)
Inventory Manager Date Name ……………………………….
Customer Financial Manager Start ……/……/…… Signature…………………………….
Supplier Financial Manager End .…../……/……. Date………………………………….

For Official Use


Central Level Use Only GhiLMIS Helpdesk Use Only
Approved By………………………………………….. Created By………………………....
Signature……………………………………………… Job Title……………………………
Date…………………………………………………… Signature…………………………...
Date…………………………………

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