ICT SUPERINTENDENCE SGTIC FS006

Application form
REQUEST FOR SOFTWARE/APPLICATIONS AND/OR SYSTEMS
DATE : 06-08-2021
* It is mandatory to complete all fields
Applicant details
Applicant Name : Telephone Contact :
Application date : Date required :

User data
Last name OLGUIN Mother's last name GONZALEZ
Names FRANCISCO JAVIER RUT 9.897.144-0
Management DBN Superintendence ENGINEERING
Area Employee Position PROCESS CONTROL ENGINEER
Cost center Contact number 974639823

Software Requirement (Restricted to the number of licenses available)

PDF Editor: • MS Project: _____1 MS Visio: 1____1 Autocad: 11
Other (specify):
Applicant Name and Name and Signature of
Signature: Area Manager:

Justification of the requirement :

Requirement Systems and/or applications (Restricted to available permissions and licenses)

Requested Action
Enable access ✓ Modify Access Remove Access
User type definition
Standard User 1• Advanced user 1 Read Permission 11 Write Permission 11
Select the application you require:
Wenco MOPS 1____1 Flanders 1 PI System SEP Payroll* 1
Other (Specify):
Applicant Name and Name and Signature of
Signature: Superintendent:

Justification of the requirement :

* The module that is enabled is Payroll Remunerations, Payroll self-consultation is managed by HR.

Send the form to MesaDeAyudaTIC@sgscm.cl , if it is correctly issued, the request will be processed, otherwise it
will be returned to the sender. All requirements towards the ICT Superintendence are regulated by the
"Information Security Policy SG-GTIC-SO&PMO-POL-10" and the "GTIC Services Catalog SG-GTIC-PO-2".

SGTIC_FS006