NSEIT limited

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Mumbai 400 059

Template Change History

Sr.No Ver.No Summary of Changes
Template updated for
1 1.0 standardisation and to add
Template change history

Document Change History

Sr.No Ver.No Summary of Changes
1 1.0 Initial draft

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 IMS - Change Management Request Form Ver 1.0

Author Reviewed & Approved By

Mayuri R M Nandakumar

Author Reviewed & Approved By

Mayuri R M Nandakumar

cument may be reproduced, stored in a retrieval system or transmitted in any form, or by any means, electronic, mechanical, photocopyi
NSE IT limited
 Date

25-Sep-18

Date
September 25, 2018

ic, mechanical, photocopying, recording or otherwise

 To be filled by CR Initiator/Originator

Change Request Form

Change Requested by Raghuvir Chaurasiya

Contact Details 7974445907

Change Request Details

Domain / Firewall Policy

1. Area of change (tick the correct option) System / Application / OS
Other? Please specify

2. Is this the change of information Security – Risk Management

Action? Yes

3. Details of proposed change:

Automation Anywhere Software

For Practical implementation of Automation Anywhere software

· What are the consequences if proposed change is not implemented? Explain.

· Attachments:
1
2
3
 For official use only
--------------------------------------------------------------------------- To be filled by the Manager----------------------------------

CR Number CR Priority

--------------------------------------------------------To be filled by the Change Management Committee---------------------

Reviewed by
Change request is Approved Approved with conditions
Change Date Change Owner
· Procedure used to reverse change if it fails to achieve desired results:

Rollback Plan

Conditions / Remarks
CR Initiator/Originator

Request Form

ya Submitted on 19/02/2020
7974445907

Request Details

Mail / SVN / File Access Permission Desk Allocation

Internet / LAN / Data Card Assets

Yes No

.
fficial use only
by the Manager--------------------------------------------------------------------------------

High / Medium / Low

Management Committee-------------------------------------------------------------------

Reviewed on
Rejected Delayed till:

eve desired results: