You are on page 1of 9

Sno First Name Last Name Department Name

1 Amuthan Harikrishnan Citrix NA


Company/Brand Title Location/Building Work Phone # Profit Center

HCL NA India - Chennai 9840971286 NA


Cost Center Company Code Server Name Manager Name / Approver

NA NA NA NA
Birthdate (MM/DD
Last 4 digits of
Employee # Employee Type only) only enter
home phone #
month and date

NA Consultant 07/04 1286


Please list network Outlook External Are you are
Internet
access required. Acct Email MacIntosh
Access (Y /
(Model Account / Required Rquired User?
N)
Same as) (Y / N) (Y / N) (Y / N)
NA Y N N N
First Name Last Name Active Directory Userid Department Name

Amuthan Harikrishnan NA Citrix


Location/Building (Must provide
Company/Brand Title Work Phone # Profit Center
full mailing address)

HCL NA India - Chennai 9840971286 NA


Cost Center Company Code Manager Name / Approver Employee #

NA NA NA NA
Birthdate (MM/DD Last 4 digits of
User Type
only) home phone #

Consultant 07/04 1286

You might also like