CUG CONNECTION REQUEST FORM
Date of Request :
Type of Request :
*
-
Fresh
Replacement
Request Raised By :
Contact No(Request By) :
*
User Name :
*
User employee ID :
*
User Aadharcard Number :
*
User Designation :
User Department :
*
Reporting To :
*
Request For :
*
-Select-
Only Sim
Sim & Button Phone
Sim & Smart Phone
Sim & TAB
Data Card
Smart Phone
Mail Approval Taken :
*
Yes
No
Location:
*
-Select-
MGMHC
MGMCI
MGMAD
Purpose / Justification :
*
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