Enrollment Form to the CMCI Portal
This will serve as basis for the DTI-CB to enroll you and allow you to access your LGU in the CMCI Portal. By Accomplishing this form, you acknowledge and swear to the integrity of the information you provide in this form, as well as in the CMCI Portal, as true and correct and indeed coming from you; and shall have the same force and effect as the information you provide in the Local Data Capture Sheet (LDCS).
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Email *
(First Name) *
(Middle Name) *
(Surname) *
Mobile Number *
Telephone Number *
Designation/Position *
LGU Name/Office Name *
Please put your LGU Name if you are representing an LGU. Otherwise please put the name of the office you represent (e.g. DTI - Reg1, RCC for Reg 1)
Province *
Region *
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