Dost Application Form for Ms

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					                                             OPERATIONAL INFORMATION/APPLICATION SYSTEMS OF NATIONAL GOVERNMENT AGENCIES

                                                                            As of June 2008


Agency Name        :                                                                                   Fax #s                        :
Name of ICT Head :                                                                                     Email Address/es              :
Designation        :                                                                                   Date Accomplished             :
Tel. #s            :




               Operational Information/                                                                                                                  Funding Source/s
                Application Systems                                              Description                                                (eg. GAA, e-Gov fund, ODA, DOST, BOT, etc.)




Please use additional sheet/s if necessary

                                                                                                       Thank you for filling-up this form
                                                                                                                      MS. LORNA M. SALES
                                                                                                                      Director, Plans Review and Monitoring Office
                                                                                                                      National Computer Center
                                                                                                                      COMMISSION ON INFORMATION AND COMMUNICATIONS TECHNOLOGY
                                                                                                                      Tel. No. 920-01-01 local 303/340/353
                                                                                                                      Tel /Fax No. 925-36-97
                                                                                                                      e-mail address: ictmonitor@ncc.gov.ph

				
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