USER ENROLMENT FORM v2
USER INFORMATION
Email Address [email protected] [email protected]
First Name RENSE e.g.: Ian
Middle Name CARTAGENA e.g.: Santos
Last Name DINGDING e.g.: Soliven
Position Title Brgy. Soong, SK TREASURER e.g.: Computer Programmer II
ACCESS RIGHTS
Usergroup LGU/NGA/GOCC/GFI if LGU/NGA/GOCC/GFI: LGU
System Role Admin
ORGANIZATION
Department Local Youth Development Council e.g.: Department of Transportation
Agency (Whole Name) (Acronym) SANGGUNIANG KABATAAN SK e.g.: Land Transportation Office (LTO)
Operating Unit BRGY. SOONG OFFICE e.g. : Manila Office
LOCATION
Region R11 e.g. : NCR
Province/District DAVAO DEL SUR e.g. : District 1
City/Municipality DIGOS CITY e.g. : Manila
Signatories
Signature of the User
Fullname of User RENSE C. DINGDING
Position of User SK TREASURER
Date Filed (mm/dd/yyyy) February 22, 2024
Signature of Head of Agency
Fullname of Head of Agency DENZELL T. REDELOSA
Designation of Head of Agency SK CHAIRPERSON
this part is to be filled up by the BTr admin
generated username Redz1107 DAVAODELSUR DAVAODELSUR davaodelsur
date created (mm/dd/yyyy) February 22, 2024 DINGDING DINGDING dingding
Signature of User Admin
Fullname of User Admin JENELYN M. BULAN
Designated BTr office R11 - DAVAO DEL SUR
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
Signature of the User (affix signature here)
Fullname of User Ian Hero Santos Soliven
Position of User Computer Programmer II
Date Filed (mm/dd/yyyy) May 22, 2024
Signature of Head of Agency (affix signature here)
Fullname of Head of Agency Edgar Galvante
Designation of Head of Agency Chief
this part is for the BTr system admin
generated username issoliven_ncr_district1_nga_ad District1 District1 district1
date created (mm/dd/yyyy) Soliven Soliven soliven
Signature of User Admin
Fullname of User Admin
Designated BTr office NCR - District 1
- 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.
