Request Form: 1.) Submitter - General Information

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Information System Bureau Form Request

Head Office
Request Form
[This form is divided into three sections. Section 1 is intended for use by the individual submitting the
change request. Section 2 is intended for use by the Project Manager to document/communicate their
initial imact analysis of the requested change. Section 2 is intended for use by Manager or Project
Manager to ma!e final decision regarding the requested or requested change."
1.) SUBMITTER - GENERAL INFORMATION
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Tye o! Request Enhancement Defect
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Tulis nama yang merequest ali!asi # diisi oleh $S%&
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Request
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Tanggal ermintaan request # diisi oleh $S%&
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Tanggal ermintaan enyelesaian request
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Tulis!an efe! yang a!an bera!ibat ada modul ali!asi lain
Assumt(o's &', Notes
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Att&$-me'ts or
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Information System Bureau Form Request
Head Office
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IT STAFF
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3.) "RO4ECT MANAGER - INITIAL ANAL5SIS 6 +ECISION
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