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Requester Name Country Contact Number

Department Location
Application (ECC/EP/BI) (Filled by Module owner)

Incident No:Landscape (jspl/jpl/overseas/jsis/smpl) Category (Dev /QAS / PRD)


(Filled by Module owner)

Sl. No.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

WBS Name
(To be filled by Business User)

Purpose of WBS
(To be filled by Business User)

SAP Login ID
(To be filled by Business User)

Plant
(To be filled by Business User)

Activity
(Create / Change / Display / Delete)

User Name

HOD Name

Functional Lead

Signature

Signature

Signature

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