Justification IT Data

(Please Modification
mention email Request
Sr. No. Change Required Module(s) Action(s) taken by IT (to be filled by IT) Preventive Action, if any
reference or attach screenshot, if needed)
IT Form Control Number:_________________________ (To be filled by IT)

Date of Receiving in IT: ______________________________ (To be filled by IT)

Requestor Info

Requestor Info Line Manager Info Department Head Info Approval from CFO Approval from ED
Name Name Name Required by IT Yes/No Required by IT Yes/No
Designation Designation Designation Name M. Farrukh Mirza Name Omar Khan
Executive
Department Department Department Designation CFO Designation
Director

Signature Signature Signature Signature Signature

IT Action Info

Name
Designation
Date of Action
IT Comments (if any)

Signature