Scribd
Upload
31 views1 page

User Access Request Form RAS LGA A2 Final

The document is a User Access Request Form for employees in the United Republic of Tanzania's President's Office, Regional Administration and Local Government. It includes sections for personal details, requested system roles, management approval, and confirmation by the ICT officer. The form outlines the process for creating, blocking, modifying user access, or resetting passwords.

Uploaded by

skyline.netpc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
31 views1 page

User Access Request Form RAS LGA A2 Final

The document is a User Access Request Form for employees in the United Republic of Tanzania's President's Office, Regional Administration and Local Government. It includes sections for personal details, requested system roles, management approval, and confirmation by the ICT officer. The form outlines the process for creating, blocking, modifying user access, or resetting passwords.

Uploaded by

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

Form: RALG-IS-A2

THE UNITED REPUBLIC OF TANZANIA

PRESIDENT'S OFFICE
REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT

USER ACCESS REQUEST FORM (EMPLOYEE)

Institution Name: Region…………………… LGA ………………………… Facility………………………

Requested Action:

Create New User  Block Existing User  Modify Existing User  Reset Password 

SECTION A: Personal Details

Check Number: …………………………. Full Name: …………………………………................


Designation: …………………………. Department: …………………………………................
Mobile Number: …………………………. Email: …………………………………................
Signature: …………………………. Date: …………………………………................

SECTION B: System and Roles Requested (To be filled by the Head of Department)
Select a system you request and role (*Roles in the Appendix A attached)

ASC  LGRCIS  MADENI MUSE  IFT MIS 


MIS 
PLANREP  FFARS  SIS  SELECTION  CHF IMIS 
GOTHOMIS  GMS  10% MIS  DOMAIN  TAUSI 

Other, specify
_____________________________________________________________________________________
Comments
_____________________________________________________________________________________

Full Name: ……………………………………………………….


Designation: ……………………………... Department: ……………………………...

Signature: ……………………………... Date: ……………………………...

SECTION C: Management Approval (To be filled by Accounting Officer)


I hereby approve/disapprove the above named applicant access to the system based on the requested
action

Comments
_____________________________________________________________________________________

Full Name: ……………………………………………………….


Designation: ……………………………...
Signature: ……………………………... Date: ……………………………...

SECTION D: Head of ICT (To be filled by ICT Officer)


I confirm that the requested action has been performed
Full Name: ……………………………………………………….
Designation: ……………………………...
Signature: ……………………………... Date: ……………………………...

You might also like