ZINARA UAM FORM 1 - New User System Access
ZINARA UAM FORM 1 - New User System Access
Surname:
National ID Number: -
Email Address:
Mobile number: + 2 6 3
PART B - LOCATION
Other (specify)
Disclaimer
Period of Confidentiality
I hereby agree to keep confidential both during and after my term as a ZimTIS user all confidential information that may
come to my knowledge, either directly or indirectly or by virtue of a ZimTIS user, it is noted that the provisions of this
undertaking shall remain in force indefinitely and shall not terminate after my service on the ZimTIS system.
Return of Information
The state may any time, by notice, request me to immediately, or at a time a date specified, return to the state any
confidential information and furnish the state with a written statement to the effect that upon such return, I have not
retained in my possession or under my control, either directly or indirectly any such information pertaining to or relating
to such confidential information
I,
in the capacity of the Applicant, declare that I have read and agree to the content of the disclaimer and that all particulars
furnished by me in this form are true and correct and realise that a false declaration is a criminal offence.
d d m m y y y y
Signature: _________________________Signed at: __________________ Date:
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PART E - SUPERVISOR/MANAGER AUTHORISATION
I,
Identification number:
in the capacity of Supervisor/Manager, hereby authorise this addition of new system user as described.
.
d d m m y y y y
Signature: _________________________Signed at: __________________ Date:
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in the capacity of Human Resources, hereby verify this addition of new system user as described.
in the capacity of Training Office Administrator, hereby confirm that the applicant was trained and attained the below
results.
Note: