THE UNITED REPUBLIC OF TANZANIA

PRIME MINISTER'S OFFICE - REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT

BUNDA DISTRICT COUNCIL

USER ACCESS REQUEST FORM (EMPLOYEE)

Request Information Environment: Production
💡 Tip: You can select multiple options. For example, select both "Create New User" and "Block Existing User" if needed.
User Classification (Select your user type)
Select "HQ User" if you work at the headquarters. Select "Facility User" if you work at a health facility, school, or field office.
SECTION A: Personal Details (To be filled by an Applicant) (All fields are compulsory)
âš ī¸ Please fill in ALL the fields below. Incomplete forms will not be submitted.
Only numbers allowed
Numbers only, maximum 20 digits
Select your department from the list
10 digits only (e.g., 0712345678)
Your typed name serves as your digital signature
System Access & Roles
Example: ASC - Mkuu wa Shule, LGRCIS - Editor, MUSE - Approver