THE UNITED REPUBLIC OF TANZANIA

PRESIDENT'S OFFICE - REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT

USER ACCESS REQUEST FORM (EMPLOYEE) - DETAIL VIEW

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REQUEST ID
#105
SUBMITTED ON
05-06-2026 10:51
REQUEST TYPE
Create New User
ENVIRONMENT
Production
SECTION A: Personal Details (Applicant)
Check Number112626364
Full NameChiman Charles Mahona
NIN19890828451070000329
DesignationEN
DepartmentHealth OPD
Mobile Number0764632471
Emailrevocatuschiman@gmail.com
SignatureChiman Charles Mahona
Date2026-06-05
System Access & Requested Roles
Selected Systems
GOTHOMIS
Other System (Specified) GePG
Requested System Role(s)
SECTION B: Head of Department Approval
Approval Status Pending
CommentsN/A
Full NameN/A
DepartmentN/A
SignatureN/A
DateN/A
This is an official document generated from the RAS LGA User Access Management System.
Generated on: 06-10-2026 17:47:29