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HEADQUARTERS

NETWORK ENTERPRISE TECHNOLOGY CENTER

ARMY SIGNAL REGIMENT (P)

Fort Andres Bonifacio, Metro Manila

NETC Form Nr 1

PA NETWORK USER ACCOUNT

APPLICATION FORM

PART I (To be filled-up by Unit ISO/ Admin NCO) Date:

1. Rank Full Name

| | | | | | | | | | | | | | | | | | | | | | | | | | | |

2. Designation: Unit/Office:

3. Contact number(s): ___________________

4. Workstation(s) to log-on to:

a. e.

b. f.

c. g.

d. h.

5. Create Email Account: Yes No

6. Allow Internet Access: Yes No

Prepared By: Submitted By:

(Unit/Office ISO) (Commander/Head of Office)

PART II (To be filled-up by Systems Administrator – NET Center)

1. User Name:

2. User must change password at next log-on: Yes No ___

3. User cannot change password: Yes ___ No

4. Group Membership:

5. Account expires on: Never

6. Password expires on: Never

7. Email Address: @army.mil.ph

Note: New password should be at least eight (8) characters long and without embedded space.

Prepared By: Recommended for Approval: APPROVED/DISAPPROVED

PA Net Administrator Systems Management Officer CO, NET Center

Note: Please attach Updated Office/Unit Roster of Troops

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