Network Services Group Access Request Form for Employee and Third Party User ID

UNOC Confidential

REQUEST FOR USER ACCOUNTS

First Name:
Last Name:
Employee Code*:
Airtel Oracle ID ( Partner )
Contact no.
Email:
Date of Request:
Role:
Access Type
Department
Company

Reason for Access / Change in Access ( )

New employee Start Date
Project requirement End Date
Other (Please Specify)

S.No Circle Node Name Node Type CLI/GUI IP address

The information provided above is true to the best of my knowledge.

User’s signature

I hereby authorize the requested access to be defined for the initiator of this request.
HOD Name :
HOD Oracle /Employee ID:
Company Name:
Date:
signature