Title Page
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Conducted on
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Prepared by
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Enabler Lead
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Activity
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Are two or more groups / services required to complete this activity for the customer?
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If Yes, continue with form.
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If No, raise relevant request via groups service request portal. LaJO, AE547, CSC
Estate & Infrastructure Group (E&IG)
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Has spacial allocation been confirmed with E&IG?
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Are there sufficient desks in space required?
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Is there sufficient power in space required?
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Are building modifications required? If yes, please add details
Chief Information Officer Group (CIOG)
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Does building / space contain existing DRN /DSN /DVN<br>If Yes - continue<br>If No - Customised ICT Request (CIR) or TC - ICT Network Facilities Infrastructure - New, to be raised via LaJO
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PMKeys number and name of requestor
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PMKeys number and name of alternate POC
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PMKeys number and name of authorising supervisor / manager
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PMKeys number and name of financial delegate
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Cost Centre Code