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IT Infrastructure & Managed Services

APPLICATION FORM FOR ACCESS TO SPECIAL IT SERVICES(1)


Lastname

:..................................................................

Firstname

:..................................................................

Department/Section : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e-mail

:..................................................................

Cost Center

:..................................................................

Employee's ID

:............

Ext.

:............

Date

:.................................................................

Comments

:.................................................................

Special IT Service

:.................................................................

Please provide me with the necessary credentials for the above request. I assure that I will use this service
(2)
according to the Corporate IS Security Policy
Applicant

Department Manager
(sign and fullname)

____________________

_____________________

NOTES:
(1) This application form should be used for requesting access to special IT services (e.g. Interact Portal). For each special
IT service, a separate application form should be filled in.
(2) The Corporate IS Security Policy can be found at:
http://iknow Corporate Intracom Telecom Procedures Enterprise Management Security 010302 Corporate IS
Security Policy
For more information please contact the IT Service Desk at ext. 4444

________________________________________________________________________________
aitisi_eidikis_efarmoghs_eng.odt

(22/7/2010)

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