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
#143
SUBMITTED ON
06-08-2026 14:06
REQUEST TYPE
Create New User
ENVIRONMENT
Production
SECTION A: Personal Details (Applicant)
Check Number11063533
Full Namevicky L Kangallah
NIN19820712315200000212
Designationregistered nurse midwife
DepartmentDivisheni ya Afya, Ustawi wa Jamii na Huduma za Lishe
Mobile Number0768500833
Emailvickykangala130@gmail.com
Signaturevicky leonora kangallah
Date2026-08-06
System Access & Requested Roles
Selected Systems
None selected
Other System (Specified) e vibali
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 17:40:32