#49 MKN Road, Guindy, Chennai-32 enq@saraminfosystems.

com +91 4424321034

www.saraminfosystems.com







User Requirement Data Collection- Form
[SIS-SWP-2014-01]
1. Client Data Collection Personal Details

1 Client Name / Company Name
2 Address with Land Mark
3 Email ID
4 Contact Number(Any Primary)
5 Website URL
6 Type Of Company Larger / Mid-Level / Small Scale
7 Contact Person Name
8 Contact Person Mobile
9 Working Hours
10 General Holidays
11 Number Of Departments
12 Number Of Departments
Required in module

13 CEO / CAO Name with Mobile (optional)
14 IT Manager name with Mobile



#49 MKN Road, Guindy, Chennai-32 enq@saraminfosystems.com +91 4424321034
www.saraminfosystems.com

2. Infrastructure (Existing) Details- Requirements (Optional)
A. Local Area Network Assessment
1 Router / Firewalls Description
2 ISP / Wireless Description
3 Number Of LAN Users
4 Number Of Servers
5 Database Servers
6 File Servers
7 Email Internet Servers
8 Domain Servers
9 PACS and Other Servers
10 V-Lanned or Not
11 Allowed Remote Supporting Tools
12 Network system Administrator Name with Mobile
13 Third Party Anti Viruses (If used)
14 Existing Intranet Path
15 Server Operating systems
16 Client Side Operating Systems

3. Functional Requirements
1. Application Language (Optional):
2. Platform : Open Source / Windows:
3. Architecture(Please Tick Suitable):
3.1 Network (Client / Server )
3.2 Stand Alone
3.3 Web / Intranet
3.4 Cloud (Private/Public)
3.5 System Device (Pl. Specify Device Type, Usage)
3.6 External Device Usage (Pl. Specify Device Type, Usage)
4. Explain About Requirement in Short:








#49 MKN Road, Guindy, Chennai-32 enq@saraminfosystems.com +91 4424321034
www.saraminfosystems.com

5. Explain about Requirement with examples in details







7. Explain if about Third party Tools / Machinery that want to integrate






8. Expected Time of Project






10. Expected or Possible Project cost that you can Spent
(Your Estimation (Approx.))





11. Attached MOU if any.

Signature:
Date: