›KT¾G< Ÿ}T ÖpLL Y^ }s^ß Document No:

Alemayehu Ketema General Contractor AKOF/IT/001

Title: Issue No: A1 Page No:
Issue Date: Feb 1 of 1
In house and Outsource IT related equipment maintenance request 01,2021

Date_________________
Ref/No_________________
Applicant Department _____________________________________
Type of repair
Applicant Name___________________________________________________ signature ______________________
Department Manager Name_________________________ Signature _____________________
Filled by the Information Technology Management Department
Urgent Medium Not urgent
Name of IT specialist ______________________________Signature________________Date _________Time ________
Problems encountered __________________________________________________________________
___________________________________________________________________________________________________
Inhouse Outsourced
Taken solution_______________________________________________________________________________________
___________________________________________________________________________________________________
The time it took to finish the job:- Start _____________End_______________
Filled by the requesting expert___________________________________________________________________________
The opinion of the employee who confirmed the work________________________________________________________
___________________________________________________________________________________________________
Name of employee confirmed the work _______________________________ Signature __________Date______________

PLEASE MAKE SURE THAT THIS IS THE CORRECT ISSUE BEFORE USE

›KT¾G< Ÿ}T ÖpLL Y^ }s^ß Document No:

Alemayehu Ketema General Contractor AKOF/IT/001
Title: Issue No: A1 Page No:
Issue Date: Feb 1 of 1
In house and Outsource IT related equipment maintenance request 01,2021
Date_________________
Ref/No_________________
Applicant Department _____________________________________
Type of repair
Applicant Name___________________________________________________ signature ______________________
Department Manager Name_________________________ Signature _____________________
Filled by the Information Technology Management Department
Urgent Medium Not urgent
Name of IT specialist ______________________________Signature________________Date _________Time ________
Problems encountered __________________________________________________________________
___________________________________________________________________________________________________
Inhouse Outsourced
Taken solution_______________________________________________________________________________________
___________________________________________________________________________________________________
The time it took to finish the job:- Start _____________End_______________
Filled by the requesting expert___________________________________________________________________________
The opinion of the employee who confirmed the work________________________________________________________
___________________________________________________________________________________________________
Name of employee confirmed the work _______________________________ Signature __________Date______________

PLEASE MAKE SURE THAT THIS IS THE CORRECT ISSUE BEFORE USE