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Date: ___________________

User Service Request Form


Name: _____________________________________________________________________

Emp No. ______________________________________________________________

Designation: ______________________________________________________________

Department: _________________________________________________________________

Address: __________________________________________________________________

Contact Info (Cell n Office): ___________________________________________________

Computer Name:____________________________________________________________

Email ID: __________________________________________________________________

Services Required:

Disclaimer:

After granted admin rights to the end user as his/her genuine requirements, if IT support
team may found any unauthorized & unlicensed software on user machine strict disciplinary
action will be taken against him/her. Before going to install any new software or release
please contact to IT support team to ensure its reliability/authenticity.

I am fully responsible and accept the all formalities which mentioned above.

User Signature Reporting GM Approval

_____________________________________________________________________________

IT Service Desk Officer: (Name/Desig.)

Comments/Action: _____________________________________________________________

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