USER ENROLMENT FORM v2
* 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 balabagon2022@gmail.com xsoliven@gmail.com
First Name Lucena e.g.: Ian
Middle Name Tabañag e.g.: Santos
Last Name Barredo e.g.: Soliven
Position Title Punong Barangay e.g.: Computer Programmer II
ACCESS RIGHTS
Usergroup if LGU/NGA/GOCC/GFI:
System Role
ORGANIZATION
Department LGU e.g.: Department of Transportation
Agency (Whole Name) (Acronym) LGU e.g.: Land Transportation Office (LTO)
Operating Unit Balabagon, Moalboal, Cebu e.g. : Manila Office
LOCATION
Region R7 e.g. : NCR
Province/District Cebu e.g. : District 1
City/Municipality Moalboal e.g. : Manila
Signatories
Signature of the User
Fullname of User Lucena T. Barredo
Position of User Punong Barangay
Date Filed (mm/dd/yyyy)
Signature of Head of Agency
Fullname of Head of Agency Lucena T. Barredo
Designation of Head of Agency Punong Barangay
this part is to be filled up by the BTr admin
generated username Cebu Cebu cebu
date created (mm/dd/yyyy) Barredo Barredo barredo
Signature of User Admin
Fullname of User Admin
Designated BTr office R7 - Cebu
- if you are applying as NGA/LGU/GOCC/GFI user, please submit the accomplished form to your designated BTr field office.
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 xsoliven@gmail.com xsoliven@gmail.com
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) August 11, 2022
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 issoliven@treasury.gov.ph
- if you are applying as NGA/LGU/GOCC/GFI user, please submit the accomplished form to your designated BTr field office.
