Transcription of MT02 - MediNet User Account and Token Card Termination …
1 Form: effective 26 Sep 2018 MT02 - MediNet User Account & Token card Termination Form Part A: To be completed by Requester Application Method Fax/ Email Attn: Health Utilisation Dashboard (HUD) Email MOH Datahub HUD Admin Salary IT System Email MOH DataHub Admin MediClaim Email MediClaim Admin R-DAR Fax 6325 2600 Jip Kok Wine nGager Fax 6324 3735 NMRC OMIS Fax 6325 1677 Royston Chng MTS Fax 6325 9072 Ling Hui Ping BiosIS Email Biosafety Branch MITS Fax 6325 9484 MITS Front End System NPHURS Email Ms Flora Huang NMTS only Email NMTS Admin CMIS Email MOH IFC EMRX Email MOH IFC EQMS Email Wee Kheng How Name: _____ NRIC: _____ Email: _____ Contact No.
2 : _____ Organisation Name:_____ Organisation ID((For MediClaim only: 7 digits used for MediClaim login): _____ Token card Serial No. (engraved behind Token card ): _____ NAF UserName: _____ *This is either NRIC or user created when you activate the Onekey Token at OneKey portal ( ). User may login to the OneKey portal to find out his/her NAF User name.) Terminate Application? (Yes / No) * If Yes, please specify which application and UserID to delete. MediClaim UserID: _____ MediClaim (PMI) UserID: _____ MediClaim (MBE) UserID: _____ EQMS UserID: _____ R-DAR UserID: _____ nGager UserID: _____ OMIS UserID: _____ MTS UserID: _____ NPHURS UserID: _____ BiosIS UserID: _____ MITS UserID: _____ Salary IT System UserID: _____ HUD UserID: _____ NMTS UserID: _____ CMIS UserID: _____ EMRX UserID: _____ NTRS UserID: _____ NTRS TC Form UserID: _____ Form: effective 26 Sep 2018 Terminate Token card Account ?
3 (Yes / No) * * Delete where appropriate Token card User ID: Reasons for Termination & Effective Date:_____ Requester s Signature: _____ Date: _____ Part B: To be completed by MOH Terminated Date: _____-- MOH to inform Applicant upon deletion of the application UserID (via email) MOH to email completed scanned form to Part C: To be completed by MediNet Operations Completed Date: _____ MediNet Operations to inform Applicant and MOH/ MOHH upon de-activating of Token card (via email) Note: Please also fill in Form MT01 if the current user is to be transferred to the new user.
