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BAHAGIAN PENGURUSAN MAKLUMAT

NETWORK SERVICE REQUEST FORM (NSRF)


Filled By Applicant For BPM Use

1. Applicant For

Date
Project/Application
Server IP Hostname
Location BPM PDSA INTERNAL IP
Start Active
Type of Access Internal Public

2. Type of Application DMZ IP

REQUEST IP
PUBLIC IP
BPM PDSA OTHER

Internal DMZ Public Internal DMZ Public Internal DMZ Public

Received & Implement By:


NATTING
Name :
BPM PDSA OTHER
Email :
Internal DMZ Public Internal DMZ Public Internal DMZ Public
Phone :

REQUEST PORT Date


Received
:
SOURCE IP DESTINATION IP PORT SERVICE

Task :
Begin
DNS
Date
DOMAIN TYPE INTERNAL / DMZ IP PUBLIC IP :
Inform
Requestor

OTHERS

Remarks :

3. Requestor *** NOTIFICATION ***


Submit completed form to Network and
Name : Security Team via
Address : Level 5, Block E7, Pusat
Agency :
Pentadbiran Kerajaan Persekutuan, 62590
Email : Putrajaya ; or
Fax : 03-8883 3380 ; or
Phone ( off / hp) : /
Email : pnet@moh.gov.my
Signature and :
Official Stamp

BPM.KKM.ISO/ISMS/P2/PK12.B01
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