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PT.

INTERNATIONAL BIOMETRICS INDONESIA


Product / Solution: e-KYC using Biometric
(Face / Fingerprint / Iris)
Service Request Form
From  Enterprise &  Commercial To Technical
Government Division Division
Division

Ticket Sequence Number: Dept/Client #/Month-Year/Docs#


Date :…../……../……
Requested by :………………… Approved by :………………...
Unit/Dept :…………………. Type of Services (please choose one of these
Date Needed :…../……./…… options below):
 New Request
 Fix-Maintenance
 Enhancement
 Reporting Need
 Others……………
Project Name:

Detail Request:

Additional Information added upon review of request:

Action Need:

Received by: Completed by: Confirmed by:

Date: Date: Date:

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