DirectFN Information Technology Services

Email & IM Requisition Form

(Please fill the bellow Email & IM Requisition Form and submit for any Email & IM Requisitions.)

SECTION 1.0 General Details

1.1 Requested Date
1.2 Requested by
1.3 For Company
1.4 Department

SECTION 2.0 Employee Information (please fill out the below information.)

2.5 Department

2.6 Office Address

2.7.1 Office Contact Number (if available)

2.1 Employee First Name

2.2 Employee Last Name
2.3 Job Title
2.4 Company

2.8 Mobile Contact Number

2.9 City
2.10 State / Province
2.11 Zip / Postal Code
2.12 Country / Region

2.7.2 Extension (if available)

SECTION 3.0 Requisition Details (please tick & provide details as required.)
New Mail ID :

(Email Address will be created as FirstName.LastName@MailDomainName, which is as per the current Group Mail Address creation policy)

3.1 Requisition Type

3.2 Mail Access Platform

Modify
Delete

Mail ID details :

Block &
Mail ID details :
Forward
Notebook / Desktop
Blackberry

3.2.1 Distribution List

3.2.2 Distribution List
Details / Group Details,
(which the above users
should be attached or
removed from)

Existing Mail ID details :

Add to Distribution List

iPhone or Other Mobile (Active Sync)

Delete from Distribution List

3.3 Instant Messaging

(IM)

New IM ID :

Delete IM ID :

SECTION 4.0 Authorization

4.1 Full Name
4.2 Position Title

4.3 Signature

4.4 Date

SECTION 5.0 For IT Department

5.1 Login User Name
5.2 Default Password

5.6 Signature & Date

5.3 Created by
5.4.1 Contact Numbers (Business)

5.4.2 Extension

5.5 Official Mobile Number (if issued)

DirectFN Information Technology Services, Email & IM Requisition Form
Version 1.3, 19th February 2012.

DirectFN Information Technology Services

Email & IM Requisition Form

(Please fill the bellow Email & IM Requisition Form and submit for any Email & IM Requisitions.)

DirectFN Information Technology Services, Email & IM Requisition Form

Version 1.3, 19th February 2012.