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Version No Date Approver for Change Reviewed by Author
1.0 Jun 09 2005 Director Workplace Operations Manager Workplace Team
1.1 Jan 01 2007 Director Workplace Operations Manager Workplace Team
1.2 Mar 01 2012 Director Workplace Operations Manager Workplace Team
Workplace Leads Read Write
Workplace Managers Read Write
Distribution List
Classification: Confidential
1) Do not forward or copy data in part or full with out explicit permission of Workplace Lead
2) Data access is limited to distribution list
3) Retention period as per Policy 123
Description
Initial form
Modified
Added:
Form Number
Replaced:
F & S with Workplace
Do
Classification: Confidential
1) Do not forward or copy data in part or full with out explicit permission of Workplace Lead
2) Data access is limited to distribution list
3) Retention period as per Policy 123
Name of the Requestor Raghavendra SS
Employee ID 10924319
Project/Dept Name CISCO-Webex
Extension No
Access Card No 424491 32008988-1
Display ID Card - Date 4/12/2013
[dd/mm/yy] (Date of Joining) (Card Valid Date)
Emp E-mail ID [email protected]
If Transferred,
from which facility HDC1A
Access Card Type Permanent
If Temporary From: _________________ To: ___________________ (Indicate exact dates)
Reason for request: Unable to accsess Cisco Bay
Name of the Sponsor Project/Dept: ___________________________________
Name of the Sponsor Project Manager: ___________________________________
Sign of the Sponsor Project Manager: ___________________________________
Details of Access Required
Name of the Project/Dept Bay no. and Floor no. Name of Project Head
CISCO-Webex BAY-2 AND 2nd FLOOR Ezaz Shaikh
Signature of the Requestor Raghavendra SS
Name: Raghavendra SS
Date:22nd May,2014
Temp Access Card No Issued ____________________________ Date of Issue/Activation
____________________________ M.venkateswarlu
Name & Sign of the Issuer Employee Signature on Receipt of Temp Access Card
Form No.:AFSFM0062
Revision No.:1.2
Revision Date:01/03/2012
Note : Approval for granting access can be either in hard or soft (through mail)
FOR OFFICIAL USE BY WORKPLACE
SPECIAL ACCESS REQUEST FORM
Form No : Bang7 Tower B/Year/Serial No
To: ___________________ (Indicate exact dates)
___________________________________
___________________________________
___________________________________
Sign of Project Head
___________________________
Employee Signature on Receipt of Temp Access Card
Note : Approval for granting access can be either in hard or soft (through mail)
FOR OFFICIAL USE BY WORKPLACE
