User Creation & Access Form

New User Account/ Exchange Information: (Fill out this section only and sign.)

First Name

Ashar

Last Name

Akbar

Title /Designation

Contact
Center
Technology
Implementatio
n&
Optimization
Executive

Department

Contact Center
Technology
Implementation &
Optimization

Building

Bahria Complex

Office Location

Lahore

Employee ID

5009

Region &
City

Lahore

Cell No.

03458445009

Access Nature: New User

Vendor Access
Access Type: Application Server
Web Server

Project base Access

Database Server

VPN Access
Vendor Access
Shared folder

Type as follow \\Server Name\share name without space

Server Name ---IP------------

---- Source IP: ---------------- Test Server IP--------------Production Server

Server Name

IP Address

Server Name

IP Address

SVR-ISBCC-SIP

10.4.22.64

SVR-KLPCC-WAS02

10.2.201.62

SVR-ISBCC-IPCS1

10.4.22.66

SVR-KLPCC-WAS03

10.2.201.65

SVR-ISBCC-IPCS2

10.4.22.65

SVR-KLPCC-DS1

10.2.211.64

SVR-ISBCC-IPCS3

10.4.22.63

SVR-KLPCC-SL01

10.2.200.68

svr-isbcc-DS1

10.4.22.52

SVR-KLPCC-IPCS3

10.2.201.110

svr-isbcc-DS2

10.4.22.53

Svr-klpcc-gs01

10.2.211.110

svr-isbcc-DS3

10.4.22.54

Svr-klpcc-gs02

10.2.211.111

svr-isbcc-DS4

10.4.22.55

mSVR-KLPCC-OS02

10.2.211.69

SVR-ISBCC-WAS01

10.4.22.70

SVRKLPCCCTI02

10.2.211.84

SVR-ISBCC-WAS02

10.4.22.71

SVRKLPCCCTI05

10.2.211.85

SVR-KLPCC-ADT02

10.4.22.74

svr-klpcc-emps

10.2.201.80

SVR-KHICC-IPCM

10.171.5.60

svr-klpcc-ipcs04

10.2.201.79

SVR-KHICC-IPCS1

10.171.5.59

svr-klpcc-ipcs05

10.2.201.82

SVR-KHICC-IPCS2

10.171.5.61

svr-klpcc-ipcs6

10.2.201.83

SVR-KLPCC-IPC02

10.2.201.59

svr-klpcc-ipcs7

10.2.201.84

SVR-KLPCC-EMS

10.2.201.60

svr-klpcc-ipcm2

10.2.201.85

SVR-KLPCC-OS01

10.2.211.61

svr-klpcc-was4

10.2.201.86

SVR-KLPCC-IPC01

10.2.201.58

10.2.201.100

SVR-KLPCC-WAS01

10.2.201.61

SVR-KLPCC-GVPDB
SVR-BCC-GVPDB

SVR-KLPCC-HYP

10.2.211.63

SVR-BCC-INFDB

10.128.205.33

SVR-KLPCC-NBR1

10.2.200.67

SVR-KLPCC-ADTDB

10.2.211.66

SVRKLPCCCTI04

10.2.211.58

SVR-KLPCC-ADT01

10.2.211.65

SVRKLPCCCTI03

10.2.211.57

SVR-KLPCC-RBT

10.2.211.76

10.128.203.205

SVR-KLPCC-IPCM

10.2.201.64

SVR-KLPCC-RBTDB

10.2.211.77

8, 2014
Duration /End January
Date

Services e.g. (RDP, etc.)

RDP & Admin

(Max 6 Months)
Justification
Remarks:

For performing routine daily tasks

Signatur
e

-------------------------------

Signatur
e

--------------------------------------

Signatur
e

---------------------------------------

(Change in User status)

New Information:
First Name
Department

Last Name
Building

Title /Designation
Office location

Employee ID

User ID

Cell No

Delete User: (Resignation)

(The account is no longer needed due to retirement, transfer or termination of employment status.)
First Name
User ID
Employee ID

Last Name
Manager /Supervisor Signature
Required
Department & City

Title

Network Services

Approved by
Manager Network Operations

Reviewed by
Manager Information Security

Signature________________

Signature________________

Date ______________

Date ___________________