HARDWARE REQUEST FORM

Notes:
1. Please complete the form with all required approvals and send back to
it.support@roobasra.com.
2. All request item quantity is by default ONE piece.

Requester Information
First Name Middle Name Last Name NTID (Login Name)

Ali Sadeq AlSowaidi aalsowai

ROO ID Department Job Title Line Manager

90052133 Operations operation shift charge engineer Stuart Rushten

Work Site Office Building Cisco Ext B2B Name
North Rumaila RPP/CCR/OFFICE 8 Ali K. AlZuhairi

Request Details
Desktop PC Laptop ✔ Monitor Cisco Phone

✔ Keyboard ✔ Mouse Webcam ✔ Headset

Please provide business justifications for your request:

I need dockstation compatible to laptop with service tag s/n : 701C3X2
justificatios is work away from my office and required for remote access applications.

Approvals
User Department Approver Digital Signature Approval Date
Digitally signed by Stuart
Rushton
STUART RUSHTON Stuart Rushton Date: 2022.07.12 16:39:40
+03'00'
7/12/2022
ITC Digital Workplace Mgr Digital Signature Approval Date

ITC Internal Use ONLY

Ticket Number End to End Owner Hand Receipt (Signature)

ROO ITC - HARDWARE REQUEST FORM Ver 6.0