DEVIATION FOR INTERNET ACCESS

Internet Access / Specific Internet Sites/Public Mailing Sites(Yahoo/Gmail /Hot Mail)

Use this form when you need any deviation in allotment of

Internet Access / Specific Internet Sites/Public Mailing Sites(Yahoo/Gmail /Hot Mail)

Please provide the following information about the person making this request:
*Name: *Phone number: *Department:

Location (HO/Gzb/Pathredi) Individual Computer * Designation:

Y/N

*Job Profile:

Business Justification of Proposed Facility

Employee Name: _________________________ Signature : _________________________

Comment From Dept. HOD:

(HOD)

Comment From GM - IT:

Approved /Rejected By GM - IT Approved Rejected

_______________________
(GM - IT)

Sanction Authority ____________________ ______________________

*Dated: ( _ _ / _ _ /_ _ _ _ ) Unit Head Jt. MD