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  • FidBond Enrolment Form For Agency Admin

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    Jigz
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    This user enrolment form collects information such as the user's name, email, position, organization, and location to provide access rights to a system. The user is identified as Rafaelita Zaspa, Punong Barangay of Barangay Pooc in Santa Fe, Cebu. The form requires signatures from both the user and head of agency to verify the information and request access.

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    FidBond Enrolment Form for Agency Admin

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    This user enrolment form collects information such as the user's name, email, position, organization, and location to provide access rights to a system. The user is identified as Rafaelita Zaspa, Punong Barangay of Barangay Pooc in Santa Fe, Cebu. The form requires signatures from both the user and head of agency to verify the information and request access.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    39 views1 page

    FidBond Enrolment Form For Agency Admin

    Uploaded by

    Jigz
    This user enrolment form collects information such as the user's name, email, position, organization, and location to provide access rights to a system. The user is identified as Rafaelita Zaspa, Punong Barangay of Barangay Pooc in Santa Fe, Cebu. The form requires signatures from both the user and head of agency to verify the information and request access.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    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 jaylcontento@gmail.com
    First Name RAFAELITA
    Middle Name ESPINOSA
    Last Name ZASPA
    Position Title Punong Barangay

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

    ORGANIZATION
    Department LOCAL GOVERNMENT UNIT
    Agency (Whole Name) (Acronym) BARANGAY POOC, SANTA FE, CEBU
    Operating Unit BARANGAY POOC, SANTA FE, CEBU

    LOCATION
    Region R7
    Province/District CEBU
    City/Municipality SANTA FE

    Signatories

    Signature of the User


    Fullname of User RAFAELITA ZASPA
    Position of User PUNONG BARANGAY
    Date Filed (mm/dd/yyyy) July 7, 2021

    Signature of Head of Agency


    Fullname of Head of Agency RAFAELITA ZASPA
    Designation of Head of Agency PUNONG BARANGAY

    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 R7 - CEBU

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