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A. CHANGE REQUESTOR Date : Name : Designation : 05 June 2013 Muhammad Fadhil System Engineer Department : Email : Tel. No. : System Operations fadhil.talib@jaring.my 0122456624
Change Request Information Change Location Level : B1 Room : IDC2 Change Category Scheduled Emergency Change Detail 1. Decommission segment 61.6.35.0/24 2. Migrate eservices (61.6.35.9) to private segment Type of Change Device Configuration System Configuration Hardware Application and System Software Network Equipment Environmental Infrastructure Others, specify: Change Reason 1. Move to VM
Implementation Details Start Date : 11 June 2013 Start Time : 10 AM Implementation Activity 1. 11 May 2013 eservices End Date : End Time : 11 June 2013 12 PM Estimate Duration : 2 Hours
Implementation Test 1. eservices Testing on new server eservices 2. Provide NAT ip for eservices
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Prepared by Change Requestor Signature : Name : Date : Verified by Head of Unit Signature : Name : Date :
B. HEAD OF DEPARTMENT Review Change Category Scheduled Emergency Remark / Impact Analysis Change Impact Analysis Major Minor Analysed by Signature : Name : Date :
C. CHANGE MANAGEMENT COMMITTEE (CMC) MEMBER Change Request Status : Remark : Approved Rejected
CMC 1 Signature : Name : Designation : Department : Date : D. CHANGE IMPLEMENTER Change Implementation Status : Remark Successful
E. CHANGE COORDINATOR Change Review Achieve Objective Not Achieve Objective Change Request Status Open Closed
Change Request Impact Legend Impact Level Impact Descriptions Very Low Negligible, extended outage is tolerable. Low Minor Impact, however if change request is not monitored and performed, may cost minor impact on business. Medium Short outage of change implementation over a period of short time frame is tolerable. High Serious Impact, failure to implement the change is a real problem. On-Time Change Implementation is needed. Very High Mission critical, failure of change implementation is impacting business profitability and impacting other non-monetary value such as image/branding of the company. On-time and successful implementation of change is high needed. JCSB-TO-ISEC-CR-FR-3.0_Change Request Form 2