EGS-4
Notification of Change


These changes are applicable to current e-mail account holders only. Please fill in the neccesary particulars.

What do you want to change?

Change of name
Change of position
Change of division
Change of telephone contact

Name of Agency:

Particulars of Change:

Current New
Name
Position
Division
E-mail
Phone

Name of AGINT or Person Submitting Form:

Name
Position
E-mail
Phone

Effective Date:

-- dd/mm/yyyy


Copyright © 1998
Unit Kamajuan IT Negeri
Kementerian Pembangunan Sumber dan
Kamajuan Teknologi Maklumat
Last revised: 14 March 2005
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