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LGN INTERNET ACCESS MODIFICATION FORM
LGN/FRM03
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* Indicates required question
1. Government Organization:
*
Your answer
2. Address:
*
Your answer
3. Name:
*
Your answer
4. National ID Card Number:
*
Your answer
5.1 Email:
*
Your answer
5.2 Contact Number:
*
Your answer
6. Access Modification Type:
*
Change in allocated internet quota
Change in division / department
Change of office location
Password reset
Change of Profile (i.e. given name, designation, grade)
Required
Modification Details:
*
Your answer
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