Medi Assist India TPA PVT Limited

Department ofIT

Share Folder Requisition Form

Employee Information:( ALL- Fields are mandatory)

Job Location:

EMP ID:

Dept.:

Name:

Designation:

Branch Name:

Contact Number:

Email Address:

Grade:

( Official )

Share folder name to be created or Existing folder Access, Provide folder name:

Reason for Share Folder access:

Windows user ID (Domain)

I am__________________________________

Read/Write

Read only

(name of employee /consultant) responsible for any the data stored,

data loss (deletion), data leakage, suspected fraudulent and any illegal activity with or without notice of mine through in
this folder.
Date:

Employee Signature:

Name of approver (HOD or COO or CEO):___________________________________________

I am agreeing with above reasons and Recommending for the folder and access rights, This is part of Business
requirement.
E-mail ID:
Approver Contact:

Signature of approver (HOD or BM):

NOTE: if you select department, access rights will be there for entire department.
For IT - Team Internal Use:
Shared folder name: _________________________________________Created date: ____________________________
Server name folder was created on: _________________________________Creators name: _______________________
Group name assigned to folder: ___________________

Date:

_________________