Name of The New User
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First Name
Last Name
Account TAG
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E-mail of Requester
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This is (your) IT Liaisons email address
Office Sub Department
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Type n/a if not applicable
Length of Employment
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Please Select
1-3 Months
4-6 Months
12 Months
24 Months
36 Months
Internship
On Probation
Add Softwares to this user profile (Choose Multiple if Necessary)
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Microsoft 365
Microsoft Dynamics CRM
Microsoft EMS
Microsoft Bookings
Microsoft Fabric
Microsoft Sentinel
Microsoft Power Automate
Virtual Hosted Desktop
Citrix Director Analytics
Cisco Webex
Cisco Umbrella
Cisco VPN
QNAP Local NAS Storage
Polycom VC Solution
OpenDNS Security
User Backup System
NordPass Password Manager
Anti-Virus - F-Secure Endpoint Protection
Other (To Specify in Description Tab)
Add type of Licences (Choose Multiple if Necessary)
*
RDS Hosted Desktop Standard
Citrix Hosted Desktop Premium
AWS - Amazon HDS
Azure Virtual Desktop
Microsoft 365 - Business Standard
Microsoft 365 - Enterprise E3
Microsoft 365 - Enterprise E5
Microsoft 365 - Exchange Plan 1
R-Mail 365-50 sends/mth
R-Mail Business-200 sends/mth
R-Mail Business-500 sends/mth
Webex by Cisco (App only)
Webex + 1000min/mth Bundle with Polycom Handset
Call Recording for Webex (Call Cabinet)
Go-Integrator for MS Outlook with Webex
Call Center Standard for Webex
Call Center Premium for Webex
AutoCAD
Autodesk Revit
Autodesk 3DS MAX
Adobe Reader Pro DC (Premium Version)
Adobe Photoshop
Adobe InDesign
Adobe Premier
Carbonite Backup
BlackBlaze Backup
Acronis Cyber Backup
Other (To Specify in Description Tab)
Additional Equipment or Device(s)
*
Type n/a if nothing is required.
If this user is swapping an existing user or some of their licence(s), please specify.
*
Please type a name of user where licenses are being swapped, otherwise type 'no'
Add User's Group Options, e.g., add names of distribution lists, hunt groups, call pickup, VPN, etc.(add multiple if necessary)
*
Please describe additional information - required for this User.
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Date Requested By
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Day
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Month
Year
Minimum 14 days notice period required as to SLA
Current Date
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Day
-
Month
Year
Please verify that you are a human
*
Submit
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