NGCR Form
NGCR Form
NGCR Form
Version: 0.1
Requester *
Requester personal information.
Name
NIK
Phone Number
Email
Superior
Division & Group
Request Approver *
Approval information.
Name Title Date Signature
Requester
AVP
VP
Objective Request*
Main objective of request.
Request Type*
Type of request based on category of request, platform, and module.
Please give mark (X) in the checkbox column based on request type.
Description Platform Checkbox
Mockup Web
Mobile
Additional Module Web
Mobile
Change Approval Web
Mobile
1
*Mandatory fields
NETgear Change Request Form
Version: 0.1
Module Checkbox
NETgear Material On Site
NETgear Movement & Collection
NETgear Physical Count
NETgear Replacement
NETgear Maintenance
NETgear BABT
MR Online
NETgear Acceptance
NETgear NDB
NETgear IT
NETgear Insurance
Other, …
Stakeholder
Party that will be affected with the changes. E.g.: Asset Management Group, Finance, etc. Will be used
as approval staging and/notification
Stakeholder 1 R/A/C/I
Stakeholder 2 R/A/C/I
Stakeholder 3 R/A/C/I
Stakeholder 4 R/A/C/I
Stakeholder 5 R/A/C/I
2
*Mandatory fields
NETgear Change Request Form
Version: 0.1
3
*Mandatory fields
NETgear Change Request Form
Version: 0.1
Glossary
List of terms or words related to the request.
4
*Mandatory fields
NETgear Change Request Form
Version: 0.1
Recommendation
.
Need to be developed y/n
Timeline to Develop Xxx Man Days
Notes
5
*Mandatory fields