IT SYSTEMS CLEARANCE FORM Date : ______________ Name: _________________ P-Number. __________________ Designation: ____________Department: ________________ SOFTWARES: 1. ERP Disable by: ______________________________ (Name, P-Number) 2. EMAIL Disable by: ______________________________ (Name, P-Number) 3. DOMAIN Disable by: ______________________________ (Name, P-Number) 4. HITIT EPR Disable by: ______________________________ (Name, P-Number) 5. IMS Disable by: ______________________________ (Name, P-Number) 6. VPN Disable by: ______________________________ (Name, P-Number) 7. DSS Disable by: ______________________________ (Name, P-Number) 8. SMS Disable by: ______________________________ (Name, P-Number) 9. LOTUS Disable by: ______________________________ (Name, P-Number) 10. WITCHES Disable by: ______________________________ (Name, P-Number) 11. ROUTERS Disable by: ______________________________ (Name, P-Number) 12. FIREWALLS Disable by: ______________________________ (Name, P-Number) Page 1 of 2 HARDWARES: 1. SIM _____________________ Received by: _______________________ (Name, P-Number) 2. INTERNET DEVICE _____________________ Received by: _______________________ (Name, P-Number) 3. PRINTER _____________________ Received by: _______________________ (Name, P-Number) 4. WALKIE TALKIE _____________________ Received by: _______________________ (Name, P-Number) 5. LAPTOP _____________________ Received by: _______________________ (Name, P-Number) Page 2 of 2