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BAF Q 3000 BORANG PENDAFTARAN DEFLIS DEFLIS REGISTRATION FORM Please tick Sila tandakan Permohonan Application Amendment Perubahan Pemotongan Deletion Penukaran Transfer DEFENCE INFORMATION TECHNOLOGY UNIT (DITU) KEMENTAH Bolkiah Garison BB3510 2386141/2386487 Fax: 2383893 [email protected] Sila isi & lengkapkan borang dengan menggunakan HURUF BESAR. Please use BLOCK LETTERS and complete the form Sehingga (Tarikh): Effective To (Date:) UNTUK DI -ISI OLEH KETUA JABATAN TO BE COMPLETED BY OFFICER IN CHARGE Pangkat/Nama: Rank/Name: No. Kad Pengenalan: Identity Card No: Unit/Jabatanarah: Unit/Directorate: No Tel: Tel No: No. Perkhidmatan: Service No: Jawatan: Appointment: Tandatangan/Tarikh: Signature/Date: UNTUK KEGUNAAN PEJABAT KOMPUTER SAHAJA FOR OFFICE USE ONLY WIN NT System Administrator MIMS System Administrator Tarikh Diterima: Date Received: Tarikh Diterima: Date Received: Nama Pengguna: User Name: Nama Pengguna: User Name: Kumpulan Keahlian: Group Membership: Kumpulan Keahlian: Group Membership: ID Pengguna: User-ID: ID Pengguna: User-ID: Komen: Comment: Komen: Comment: Tandatangan/Tarikh: Signature/Date: Tandatangan/Tarikh: Signature/Date Saya dengan ini mengesahkan bahawa keterangan di atas bagi Permohonan/Perubahan/Pemotongan/Penukaran Pendaftaran DEFLIS di-atas ini adalah betul. I hereby agree that the above details of Application/Amendment/Deletion/Transfer of DEFLIS registration is true. No. Kad Pengenalan: Identity Card No: No. Perkhidmatan: Service No: Pangkat: Rank: Nama: Name: Alamat Pejabat: Office Address: No Telefon Pejabat: Office Telephone No: Jawatan Sekarang: Current Appointment: Unit: Unit: Bermula (Tarikh): Effective From (Date): Sehingga (Tarikh): Effective To (Date): Jawatan Lama: Previous Appointment: Unit: Unit: Bermula (Tarikh): Effective from (Date): Jawatan Sementara: Temporary Appointment: Unit: Unit: Bermula (Tarikh): Effective Date (Date): Sehingga (Tarikh): Effective To (Date): KETERANGAN KERJA WORK DETAILS Lokasi Kerja: Work Location: No Telefon Pejabat: Office Telephone No: ID Pengguna DEFLIS (Rangkaian): DEFLIS User ID (Network): ID Pengguna DEFLIS (MIMS): DEFLIS User ID (MIMS): Jawatan: Appointment: Keterangan Tugas: Job Description: Catatan: Remarks: Tandatangan/Tarikh: Signature/Date:

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Page 1: BORANG PENDAFTARAN DEFLIS DEFLIS REGISTRATION … Files/BAF Q3000 Form.pdfBAF Q 3000 BORANG PENDAFTARAN DEFLIS DEFLIS REGISTRATION FORM Please tick Sila tandakan Permohonan Application

BAF Q 3000BORANG PENDAFTARAN DEFLIS

DEFLIS REGISTRATION FORM

Please tickSila tandakan

PermohonanApplication

AmendmentPerubahan

PemotonganDeletionPenukaranTransfer

DEFENCE INFORMATION TECHNOLOGY UNIT(DITU)KEMENTAHBolkiah Garison BB35102386141/2386487Fax: [email protected]

Sila isi & lengkapkan borang dengan menggunakan HURUF BESAR. Please use BLOCK LETTERS and complete the form

Sehingga (Tarikh):Effective To (Date:)

UNTUK DI -ISI OLEH KETUA JABATANTO BE COMPLETED BY OFFICER IN CHARGE

Pangkat/Nama:Rank/Name:

No. Kad Pengenalan:Identity Card No:

Unit/Jabatanarah:Unit/Directorate:

No Tel:Tel No:

No. Perkhidmatan:Service No:

Jawatan:Appointment:

Tandatangan/Tarikh:Signature/Date:

UNTUK KEGUNAAN PEJABAT KOMPUTER SAHAJAFOR OFFICE USE ONLY

WIN NT System Administrator MIMS System AdministratorTarikh Diterima:Date Received:

Tarikh Diterima:Date Received:

Nama Pengguna:User Name:

Nama Pengguna:User Name:

Kumpulan Keahlian:Group Membership:

Kumpulan Keahlian:Group Membership:

ID Pengguna:User-ID:

ID Pengguna:User-ID:

Komen:Comment:

Komen:Comment:

Tandatangan/Tarikh:Signature/Date:

Tandatangan/Tarikh:Signature/Date

Saya dengan ini mengesahkan bahawa keterangan di atas bagi Permohonan/Perubahan/Pemotongan/Penukaran Pendaftaran DEFLIS di-atas ini adalah betul.

I hereby agree that the above details of Application/Amendment/Deletion/Transfer of DEFLIS registration is true.

No. Kad Pengenalan:Identity Card No:

No. Perkhidmatan:Service No:

Pangkat:Rank:

Nama:Name:

Alamat Pejabat:Office Address:

No Telefon Pejabat:Office Telephone No:

Jawatan Sekarang:Current Appointment:

Unit:Unit:

Bermula (Tarikh):Effective From (Date):

Sehingga (Tarikh):Effective To (Date):

Jawatan Lama:Previous Appointment:

Unit:Unit:

Bermula (Tarikh):Effective from (Date):

Jawatan Sementara:Temporary Appointment:

Unit:Unit:

Bermula (Tarikh):Effective Date (Date):

Sehingga (Tarikh):Effective To (Date):

KETERANGAN KERJAWORK DETAILS

Lokasi Kerja:Work Location:

No Telefon Pejabat:Office Telephone No:

ID Pengguna DEFLIS (Rangkaian):DEFLIS User ID (Network):

ID Pengguna DEFLIS (MIMS):DEFLIS User ID (MIMS):

Jawatan:Appointment:

Keterangan Tugas:Job Description:

Catatan:Remarks:

Tandatangan/Tarikh:Signature/Date: