VPN Access Request Form (Ramesh - Rathod)

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I understand and will abide by the VPN access control Policy.

I understand
that any violation of the VPN access guidelines or other CP policies may
EMPLOYEE AGREEMENT
constitute a criminal offense. Violations may result in loss of access
privileges and CP disciplinary action and/or appropriate legal action.
EMPLOYEE ID No.: 850035021
EMPLOYEE NAME: Ramesh Rathod
EMPLOYEE EMAIL ID: Ramesh.Rathod@genpact.com
SYSTEM: ☐PERSONAL Computer / Laptop [Yes] ☐CORPORATE Laptop
REMOTE (PERSONAL)
00-23-AE-87-23-57
SYSTEM MAC ADDRESS:
REMOTE (PERSONAL) **Anti-Virus vendor is required if
SYSTEM ANTI-VIRUS: user is using personal computer.
RAGE FRAMEWORKS ID: Genpact Employee
CORPORATE SYSTEM
192.168.35.102
HOST IP ADDRESS:
CORPORATE SYSTEM
EDT-223
HOST NAME:
PROJECT ID/ NAME: Mckesson
VPN DETAIL: Dedham
ROLE IN PROJECT: Developer
PROJECT MANAGER
Chattopadhyay, Soubir
NAME:
INFOSEC APPROVAL
STATUS:
PURPOSE OF REQUEST: Project development
BUSINESS JUSTIFICATION: Need to access development server to do project development.
PROJECT:Mckesson Destination Destination Description:Jump
ACCESS /
IP Protocol/Ports: server
JUMP SERVER
Address/URL:172.25.1.103 RDP Access
DETAILS:
To
DURATION OF VPN Date:
Days: 60 days From Date: 14-Aug-2018
ACCESS 20-Dec-
2018

NOTE – ENTIRE FORM IS MANDETORY. ANY INCOMPLETE DETAILS WILL RESULT IN DELAY IN PROCESSING OF
SERVICE REQUEST.

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