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VPN Access Request Form for Project Dev

The employee agrees to abide by the VPN access control policy. Any violations of the policy or other company policies may result in criminal penalties, loss of access privileges, and disciplinary action. The employee is requesting VPN access for 60 days to access a development server from their personal computer for a project at their role as a developer.

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Ramesh Rathod
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0% found this document useful (0 votes)
57 views1 page

VPN Access Request Form for Project Dev

The employee agrees to abide by the VPN access control policy. Any violations of the policy or other company policies may result in criminal penalties, loss of access privileges, and disciplinary action. The employee is requesting VPN access for 60 days to access a development server from their personal computer for a project at their role as a developer.

Uploaded by

Ramesh Rathod
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

I understand and will abide by the VPN access control Policy.

I understand
that any violation of the VPN access guidelines or other CP policies may
EMPLOYEE AGREEMENT
constitute a criminal offense. Violations may result in loss of access
privileges and CP disciplinary action and/or appropriate legal action.
EMPLOYEE ID No.: 850035021
EMPLOYEE NAME: Ramesh Rathod
EMPLOYEE EMAIL ID: [Link]@[Link]
SYSTEM: ☐PERSONAL Computer / Laptop [Yes] ☐CORPORATE Laptop
REMOTE (PERSONAL)
00-23-AE-87-23-57
SYSTEM MAC ADDRESS:
REMOTE (PERSONAL) **Anti-Virus vendor is required if
SYSTEM ANTI-VIRUS: user is using personal computer.
RAGE FRAMEWORKS ID: Genpact Employee
CORPORATE SYSTEM
[Link]
HOST IP ADDRESS:
CORPORATE SYSTEM
EDT-223
HOST NAME:
PROJECT ID/ NAME: Mckesson
VPN DETAIL: Dedham
ROLE IN PROJECT: Developer
PROJECT MANAGER
Chattopadhyay, Soubir
NAME:
INFOSEC APPROVAL
STATUS:
PURPOSE OF REQUEST: Project development
BUSINESS JUSTIFICATION: Need to access development server to do project development.
PROJECT:Mckesson Destination Destination Description:Jump
ACCESS /
IP Protocol/Ports: server
JUMP SERVER
Address/URL:[Link] RDP Access
DETAILS:
To
DURATION OF VPN Date:
Days: 60 days From Date: 14-Aug-2018
ACCESS 20-Dec-
2018

NOTE – ENTIRE FORM IS MANDETORY. ANY INCOMPLETE DETAILS WILL RESULT IN DELAY IN PROCESSING OF
SERVICE REQUEST.

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