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CNU - User Access Request Form

The document is a User Access Request Form from Cebu Normal University, intended for individuals to request access to various systems. It includes sections for user details, contact information, nature of access request, and required access specifications. The form also requires approval from a High Compliance Project Leader or Data Manager and confirmation from the ICTO upon granting access.

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34 views1 page

CNU - User Access Request Form

The document is a User Access Request Form from Cebu Normal University, intended for individuals to request access to various systems. It includes sections for user details, contact information, nature of access request, and required access specifications. The form also requires approval from a High Compliance Project Leader or Data Manager and confirmation from the ICTO upon granting access.

Uploaded by

legion.brent
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
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Republic of the Philippines

Cebu Normal University


Osmeña Blvd. Cebu City, 6000 Philippines

Information and Communication Technology Office


Telephone No: (+63 32) 253 7915 local 0
Telefax No.: (+63 32) 253 9611
Email: [email protected];
Website: www.cnu.edu.ph

USER ACCESS REQUEST FORM


User Details

First Name
Last Name
System user name
Department

Contact Details Nature of Access Request (tick):


(Please enter an email address or phone number so that
we can contact you if we need any further information
or for notification when the access has been granted). New or Additional Access Disable Access (Access no longer required)

Telephone Number Modify Existing Access Other (please specify below)


Email Address Other:

Access Required (please list below access affected by this request)


(Tick ‘Add’, ‘Remove’ or ‘Modify’ as appropriate and indicate if Read Only (RO) or Read/Write (RW))

System Module Name Add Remove Modify


RO / RW
(eg. enrolment, grades entry, student ledger) permission permission permission

Access Approval by the High Compliance Project Leader or Data Manager

Access Authorized by (print name):

Access Authorized by (Signature):

Date:

Access Granted by ICTO:

User Matrix updated

OMAR B. ROMA
Name: Signed: Date:

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