Active Directory ID Unlock and Password Reset Request form ; Ver 1.2
In accordance with Sesa Group Information Security Procedures, this request form must be
completed
EMPLOYEE INFORMATION
Name:DURGA CHURENDRA
Department:IT
Employee No: NA
Date:15/5/2023
Designation:
Location : KORBA
Reason for Request:
REQUEST AREA
Active Directory (AD) Id
ACTION REQUIRED
Unlock account
Password Reset
User Undertaking
I have read and understood Sesa Group's Acceptable Usage Policy and agree to comply with the
policy. I hereby take custody of the Access provided to me and promise to protect the same
from any misuse. I understand that I am liable for any disciplinary action in case I am found
guilty of abuse of company’s resource or of creating a threat to the company’s information
security. I will not share the access provided to me with anybody.
User Signature
Date:15/5//2023
To be filled by Change Implementer
Employee Name
Employee ID
Change Status
Date of Change Completion
Remarks
Intimation to the Requestor (Y/N)
Signature
SESAIT/ISO27001/ISMS_Active Directory ID unlock and password reset request from ver 1.2
Sesa Group : Internal ; Page 1