THE UNITED REPUBLIC OF TANZANIA

PRESIDENT'S OFFICE - REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT

USER ACCESS REQUEST FORM (EMPLOYEE) - DETAIL VIEW

← Back to Management 📄 Download PDF + New Request
REQUEST ID
#109
SUBMITTED ON
10-06-2026 12:16
REQUEST TYPE
Create New User
ENVIRONMENT
Production
SECTION A: Personal Details (Applicant)
Check Number113309096
Full NameROYCE THEODORY THEOBAD
NIN19990731356100000112
DesignationAssistant nurse officer
DepartmentHealth
Mobile Number0622158132
Emailroycetheodory9@gmail.com
SignatureRoyce Theodory theobad
Date2026-06-10
System Access & Requested Roles
Selected Systems
GOTHOMIS NeST
Other System (Specified)
Requested System Role(s) Nurse
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 17:47:15