Title Page

  • Conducted on

  • Site Name:

  • Location
  • ATM Model:

  • ATM Serial Number:

  • Customer ATM LU Number:

  • On Site - Confirmed with NCR IC

  • NCR IC Name:

Software Installation

ATM Cash Figures & Software Update

  • ATM 01.01.05 Software Update CD/DVD installed?(1 DVD)

Completion

Completion and Completion Checks

  • Tick to confirm - All peripheral devices (keyboard/mouse) - Software Discs have been removed?

  • SDM Deposit test completed by the branch?

  • Explain reasons why?

To be Signed Off by Customer Representative & Engineer on Completion of All Tasks:

Customer Representative

  • Name (Printed)

  • Signature

  • Comments

Engineer

  • Name (Printed)

  • Signature

  • Comments

  • Off Site Information shared with NCR IC?

  • Name of the NCR IC

Complete and submit Audit form to RBSNWBINSTALLS.TIS@NCR.COM

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