AIG, IT Department

User Access Request Form

Section (A) User Information (Filled by the user)
Please complete this section with the your information: Name (Last, First Mid) Employee Number # Network ID

Form Number: SOP-IT-003

E-Mail Address

IRFAN QUDDUS
Job Title Position

1477
Org. Code Organization Name

HSE
Company Branch

HSE MANAGER CONTRACTING- J-3255

600
Department Telephone Number

IBSF
Section (B) General Access Information

HSE

0531506535

Please fill out the following access request basic information: Request Date: Requester Type: AIG Employee Sap Contractor Other, Specify: ( System (Please choose one only): From PRD DEV QA/Training IDES BI/BO ) Action Requested: Create User Change Permissions Change Password Lock User Unlock User Other, Specify: ( Validity Period To )

Section (C) Access Areas

Sr. No. 1 2 3 4 5 6

Access Level * Service

Administrator Manager User Local service International service AD Group name

Training Required
Yes No

Network Internet Wireless LAN Email Auditor/Visitor Telephone

Section (D) SAP Access Areas (For the Requesters CSL, refer to SAP CC Role Catalogue to complete the role name and description)
Please fill out this section with roles to be Added/Removed from the user: This Section is to be completed by the Users CSL Role Name 1 2 3 Role Description Add Remove Start Date / / End Date / /

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AIG, IT Department
User Access Request Form

Form Number: SOP-IT-003

Section (E) Information Technology Assets (to be filed by IT Department)

Refer to Assets Document #:____________

Section (F) Approval

Requesters Direct Manager: Name: Title: SITE MANAGER Organization: Title: VP Shared Services Organization: AIG Title: SAP Applications & Integration Manager Organization: AIG Title: IT /Infra. Manager Organization: AIG ID # Signature: Date: ID # Signature: ID # Signature: Date:

ASHRAF M YOUSEF

750
ID # Signature:

/
Date:

V.P Shared Services: Name : Mr. Ali Al Mezrawi SAP Department Approval: Name: Mr. Mohsin Atta IT /Infrastructure Department Approval: Name: Mr. Ehab Atallah

/
Date:

Section (G) Terms and conditions

You may only access computing resources for which you have specific authorization and only in accordance with authorization business need, Your password verifies your login identification (login ID) and is intended for your use alone. You are responsible for keeping it confidential and for changing your password based on your company security policy. If you suspect someone else knows your password, change it immediately. Intentional violation of this agreement may result in disciplinary action, legal action or both. You may be held responsible for any willful and deliberate misuse, systems damage or security breach, that is traceable to your assigned Login ID. I, the undersigned, hereby request access to the Internet through a site owned and operated by AIG. I understand that Internet sites are monitored by AIG, and that the information transmitted and received through its sites is not secure. I also understand that AIG has the right and obligation to maintain its security and the confidentiality of information pertaining to its employees and the operation of its facilities. I understand that, as a result, data transmitted and received through its Internet facilities will be reviewed from time to time by IT security personnel at AIG. I therefore authorize AIG to review any data, including e-mails, which I transmit through the Internet facilities of AIG. I also confirm that I am aware that the transmission or reception of materials with political or sexual content is illegal in the Kingdom of Saudi Arabia and against the rules and regulations of AIG. I therefore acknowledge that, should I willfully transmit or receive any such materials, I may be subject to disciplinary action, including termination under Article 83 of the Saudi Labor and Workmens Law and being reported t o Saudi Government authorities. I agree that I will not use any Internet facility without following AIG procedures for accessing the Internet, and I will immediately report any inadvertent access to illegal materials to the Information Technology Department.

By signing this you agreed and understand all what has been mention in this document and agreed on the AIG policies related to IT and over all culture User Signature: Name: Request Date: Training/Info. Received Date:
4 / 6 / 2013

IRFAN QUDDUS

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AIG, IT Department
User Access Request Form

Form Number: SOP-IT-003

Section (H): IT Use Only

Application No.

Received Date User name Email ID Phone Ext User name

Received By

Domain Email Phone SAP

Service Information Temp. Password Temp. Password Phone Password: Temp. Password

Workgroup Type National (Y/N) International (Y/N)

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